Capistrano Connection Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CAPISTRANO CONNECTION ACADEMY

Practice address

33272 Valle Rd
San Juan Capistrano, CA 92675-4842

Phone

(949) 461-1667

Fax

(949) 425-8791

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Richard Savage

Title

Principal

Phone

(949) 461-1667

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1588092548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SW COLUMBIA ST",
            "address_2": "SUITE 1750",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972016600",
            "telephone_number": "949-461-1667",
            "fax_number": "949-425-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33272 VALLE RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754842",
            "telephone_number": "949-461-1667",
            "fax_number": "949-425-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPISTRANO CONNECTION ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "949-461-1667"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA SCHOOL DIRECTORY CODE",
            "identifier": "30664640106765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Cao-Son, PA-C
• Ida Cao, ASW
• Brooke T Caouette, LCSW
• Capistrano Beach Recovery Center LLC
• Capistrano Beach Recovery Center LLC
• Capistrano Dental Partnership
• Capistrano Skin Cancer Center, Inc
• Capistrano Unified School District
• Elizabeth Ann Cappelletti, LMFT
• Katelyn Carbiener, RBT

• Local Education Agency (LEA) in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 Jan 12, 2016; 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.