Organization Active NPI

Heritage Peak Charter School

  • Local Education Agency (LEA)
  • North Highlands, CA
National Provider Identifier
1366732349
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
HERITAGE PEAK CHARTER SCHOOL
Practice address
3600 Madison Ave
Suite 59
North Highlands, CA 95660-5077
Phone
(866) 992-9033
Fax
(916) 338-4770
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul Keefer
Title
Superintendent
Phone
(866) 992-9033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

3600 Madison Ave
Suite 59
North Highlands, CA 95660-5077

Mailing address

3600 Madison Ave
Suite 59
North Highlands, CA 95660-5077
Phone (866) 992-9033

Other identifiers 1

IdentifierTypeStateIssuer
34765050108415OtherCACDS CODE

National Provider Directory

National Provider Directory

Locations

3600 Madison Ave
Ste 59
North Highlands, CA 95660
Phone (866) 992-9033

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1366732349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MADISON AVE",
            "address_2": "SUITE 59",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605077",
            "telephone_number": "866-992-9033",
            "fax_number": "916-338-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MADISON AVE",
            "address_2": "SUITE 59",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605077",
            "telephone_number": "866-992-9033",
            "fax_number": "916-338-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PEAK CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "KEEFER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "866-992-9033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS CODE",
            "identifier": "34765050108415",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Highlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.