NPIMap

Organization Active NPI

South Bay Union Elementary School District

  • Local Education Agency (LEA)
  • Eureka, CA
National Provider Identifier
1609910827
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
SOUTH BAY UNION ELEMENTARY SCHOOL DISTRICT
Practice address
6077 Loma Ave
Eureka, CA 95503-6869
Phone
(707) 476-8549
Fax
(707) 444-6246
NPI assigned
Feb 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Marie Twibell
Title
Superintendentprincipal
Phone
(707) 476-8549

Specialties & licenses 1

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

Addresses

Primary practice location

6077 Loma Ave
Eureka, CA 95503-6869

Mailing address

6077 Loma Ave
Eureka, CA 95503-6869
Phone (707) 476-8549

Other identifiers 1

IdentifierTypeStateIssuer
SS1263032MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Arcata School District14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

6077 Loma Ave
Eureka, CA 95503
Phone (707) 443-4828

Practitioners & affiliated clinicians

Practitioners 2

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609910827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 LOMA AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955036869",
            "telephone_number": "707-476-8549",
            "fax_number": "707-444-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6077 LOMA AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955036869",
            "telephone_number": "707-476-8549",
            "fax_number": "707-444-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY UNION ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TWIBELL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "SUPERINTENDENTPRINCIPAL",
        "authorized_official_telephone_number": "707-476-8549",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS1263032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, 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.