Organization Active NPI

Mother Lode Union School District

  • Local Education Agency (LEA)
  • Placerville, CA
National Provider Identifier
1396801510
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MOTHER LODE UNION SCHOOL DISTRICT
Practice address
3783 Forni Rd
Placerville, CA 95667-6207
Phone
(530) 622-6464
NPI assigned
Dec 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shanda G Hahn
Title
Superintendent
Phone
(530) 622-6464

Specialties & licenses 1

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

Addresses

Primary practice location

3783 Forni Rd
Placerville, CA 95667-6207

Mailing address

2777 Del Monte St
West Sacramento, CA 95691-3811
Phone (916) 375-1707

Other identifiers 1

IdentifierTypeStateIssuer
0961929OtherCAMEDICAL

National Provider Directory

National Provider Directory
Tax ID family
Black Oak Mine Unified School District10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396801510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 DEL MONTE ST",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913811",
            "telephone_number": "916-375-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3783 FORNI RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676207",
            "telephone_number": "530-622-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER LODE UNION SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "SHANDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "530-622-6464"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "0961929",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.