NPIMap

Organization Active NPI

Old Town Academy

  • Local Education Agency (LEA)
  • San Diego, CA
National Provider Identifier
1376425819
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
OLD TOWN ACADEMY
Practice address
2120 San Diego Ave
San Diego, CA 92110-2901
Phone
(619) 574-6225
NPI assigned
Jul 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Devon PhillipsNPI 1851254213
Title
Executive Director and Principal
Phone
(765) 749-9266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2120 San Diego Ave
San Diego, CA 92110-2901

Mailing address

2120 San Diego Ave # 1
San Diego, CA 92110-2901

National Provider Directory

National Provider Directory

Locations

2120 San Diego Ave
San Diego, CA 92110
Phone (619) 574-6225

2120 San Diego Ave
#1
San Diego, CA 92110
Phone (619) 574-6225

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1376425819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 SAN DIEGO AVE # 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 SAN DIEGO AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102901",
            "telephone_number": "619-574-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TOWN ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR AND PRINCIPAL",
        "authorized_official_telephone_number": "765-749-9266"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.