Organization Active NPI

El Camino Real Charter High School

  • Local Education Agency (LEA)
  • Woodland Hills, CA
National Provider Identifier
1407297716
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
EL CAMINO REAL CHARTER HIGH SCHOOL
Practice address
5440 Valley Circle Blvd
Woodland Hills, CA 91367-5949
Phone
(818) 595-8002
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Mr. Marshall Mayotte, CBO
Title
Cbo
Phone
(818) 595-7537

Specialties & licenses 1

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

Addresses

Primary practice location

5440 Valley Circle Blvd
Woodland Hills, CA 91367-5949

Mailing address

5440 Valley Circle Blvd
Woodland Hills, CA 91367-5949
Phone (818) 595-8002

National Provider Directory

National Provider Directory

Locations

5440 Valley Circle Blvd
Woodland Hills, CA 91367
Phone (818) 595-7569

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1407297716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 VALLEY CIRCLE BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675949",
            "telephone_number": "818-595-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 VALLEY CIRCLE BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675949",
            "telephone_number": "818-595-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMINO REAL CHARTER HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "MAYOTTE",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "CBO",
        "authorized_official_telephone_number": "818-595-7537",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CBO"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.