Jefferson School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

SS3968544 Issued in CA

Legal business name

JEFFERSON SCHOOL DISTRICT

Practice address

1219 Whispering Wind Dr
Tracy, CA 95377-8269

Phone

(209) 836-2766

Fax

(209) 832-8515

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mindy Maxedon

Title

Chief Business Officer

Phone

(209) 836-2766

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457497331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 WHISPERING WIND DR",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778269",
            "telephone_number": "209-836-2766",
            "fax_number": "209-832-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 WHISPERING WIND DR",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778269",
            "telephone_number": "209-836-2766",
            "fax_number": "209-832-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAXEDON",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "CHIEF BUSINESS OFFICER",
        "authorized_official_telephone_number": "209-836-2766"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "SS3968544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS3968544",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aris G James
• Pritpal Janda, O.D.
• Jimena Jauregui Jimenez
• Shaheen Jawahar, MD
• Cody Jean, LCSW
• Kaitlin Jenks
• Alecia Rae Jeppson, LCSW
• Susan Kathleen Jessee
• Jim Yu, D.D.S. Professional Dental Corporation
• Karen Jimenez Lopez

• Local Education Agency (LEA) in Tracy, CA
• Providers in Tracy, CA by specialty
• Local Education Agency (LEA) in California

• 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.