NPIMap

Organization Active NPI

San Jose Charter Academy

  • Local Education Agency (LEA)
  • West Covina, CA
National Provider Identifier
1578812822
Registry record updated Sep 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SAN JOSE CHARTER ACADEMY
Practice address
2021 W Alwood St
West Covina, CA 91790-3259
Phone
(626) 856-1693
Fax
(626) 480-7118
NPI assigned
Sep 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2012

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

Authorized official

Name
Kathy R. Cooper
Title
Business Service Manager
Phone
(626) 856-1693

Specialties & licenses 1

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

Addresses

Primary practice location

2021 W Alwood St
West Covina, CA 91790-3259

Mailing address

2021 W Alwood St
West Covina, CA 91790-3259
Phone (626) 856-1693

Other identifiers 1

IdentifierTypeStateIssuer
SS6023527OtherCAMEDI-CAL

National Provider Directory

National Provider Directory

Locations

2021 W Alwood St
West Covina, CA 91790
Phone (626) 856-1693

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346544000000",
    "number": "1578812822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 W ALWOOD ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903259",
            "telephone_number": "626-856-1693",
            "fax_number": "626-480-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 W ALWOOD ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903259",
            "telephone_number": "626-856-1693",
            "fax_number": "626-480-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE CHARTER ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-02",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "BUSINESS SERVICE MANAGER",
        "authorized_official_telephone_number": "626-856-1693"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "SS6023527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2012; 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.