Organization Active NPI

Cajon Valley Union Elementary

  • Local Education Agency (LEA)
  • El Cajon, CA
National Provider Identifier
1598889214
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CAJON VALLEY UNION ELEMENTARY
Practice address
189 Roanoke Rd
El Cajon, CA 92020-4015
Phone
(619) 588-3265
Fax
(619) 588-3673
NPI assigned
Mar 19, 2007
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
Mr. George W Oetken
Title
Asst. Superintendent
Phone
(619) 588-3060

Specialties & licenses 1

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

Addresses

Primary practice location

189 Roanoke Rd
El Cajon, CA 92020-4015

Mailing address

189 Roanoke Rd
PO Box 1007
El Cajon, CA 92020-4015
Phone (619) 588-3265

Other identifiers 1

IdentifierTypeStateIssuer
SS3767991MedicaidCA

National Provider Directory

National Provider Directory

Locations

189 Roanoke Rd
El Cajon, CA 92020
Phone (619) 588-3265

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598889214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ROANOKE RD",
            "address_2": "PO BOX 1007",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204015",
            "telephone_number": "619-588-3265",
            "fax_number": "619-588-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 ROANOKE RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204015",
            "telephone_number": "619-588-3265",
            "fax_number": "619-588-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAJON VALLEY UNION ELEMENTARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OETKEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASST. SUPERINTENDENT",
        "authorized_official_telephone_number": "619-588-3060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS3767991",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, 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.