Organization Active NPI

Garvey School District

  • Family Nurse Practitioner
  • Rosemead, CA
National Provider Identifier
1407910250
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN422810 Issued in CA
Legal business name
GARVEY SCHOOL DISTRICT
Practice address
2730 Del Mar Ave
Rosemead, CA 91770-3026
Phone
(626) 307-3427
Fax
(626) 307-3494
NPI assigned
Dec 19, 2006
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
Ms. Virginia Peterson, M.A.
Title
Superintendent
Phone
(626) 307-3427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN422810 CA Primary

Addresses

Primary practice location

2730 Del Mar Ave
Rosemead, CA 91770-3026

Mailing address

2730 Del Mar Ave
Rosemead, CA 91770-3026
Phone (626) 307-3427

Other identifiers 1

IdentifierTypeStateIssuer
SS1964550OtherCAMEDI-CAL CHDP

National Provider Directory

National Provider Directory
Tax ID family
Garvey Elementary School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2730 Del Mar Ave
Rosemead, CA 91770
Phone (626) 307-3400

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407910250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 DEL MAR AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703026",
            "telephone_number": "626-307-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 DEL MAR AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703026",
            "telephone_number": "626-307-3427",
            "fax_number": "626-307-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARVEY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "626-307-3427",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN422810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL CHDP",
            "identifier": "SS1964550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, 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.