Golden Eagle Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

GOLDEN EAGLE CHARTER SCHOOL

Practice address

1030 W a Barr Rd
Mount Shasta, CA 96067-9466

Phone

(530) 324-5650

NPI assigned

Dec 16, 2024

Last updated

Dec 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amelia Demartini

Title

Accounts Payable II

Phone

(530) 926-5800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charity Leigh Tacbas, AMFT

  • Marriage & Family Therapist
  • Mount Shasta, CA
  • NPI 1750192167
  NPD

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1477360147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W A BARR RD",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960679466",
            "telephone_number": "530-324-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W A BARR RD",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960679466",
            "telephone_number": "530-324-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 S Oregon St",
            "address_purpose": "LOCATION",
            "city": "Yreka",
            "state": "CA",
            "postal_code": "960973475",
            "country_code": "US",
            "telephone_number": "530-926-5800 x810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 4th St",
            "address_purpose": "LOCATION",
            "city": "Yreka",
            "state": "CA",
            "postal_code": "960973311",
            "country_code": "US",
            "telephone_number": "530-926-5800 x810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2226 S Mount Shasta Blvd",
            "address_purpose": "LOCATION",
            "city": "Mount Shasta",
            "state": "CA",
            "postal_code": "960679626",
            "country_code": "US",
            "telephone_number": "530-926-5800 x810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN EAGLE CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "DEMARTINI",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "ACCOUNTS PAYABLE II",
        "authorized_official_telephone_number": "530-926-5800"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Michelle Fruttero
• Garfield Beach CVS, L.L.C. (CVS Pharmacy #11346)
• Gretchen Gerlitz
• Jacqueline Wilkinson Gilbert-Parker, PA
• Gina Renee Palady (Gina Renee Palady LAC)
• Rafaela Gomes-Matos
• Good Medicine a Medical Corporation
• Matthew J Grannan
• Todd Guthrie, M.D.
• Nancy Haas

• Local Education Agency (LEA) in Mount Shasta, CA
• Providers in Mount Shasta, 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 Dec 16, 2024; 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.