NPIMap

Organization Active NPI

Kipp King Collegiate

  • Local Education Agency (LEA)
  • Oakland, CA
National Provider Identifier
1619798220
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
KIPP KING COLLEGIATE
Practice address
1000 Broadway Ste 460
Oakland, CA 94607-4033
Phone
(510) 465-5477
NPI assigned
Oct 17, 2024
Organization subpart
Yes
Parent organization
KIPP BRIDGE ACADEMYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Nicholas Lingscheit
Title
Medi-Cal Billing Manager
Phone
(510) 992-0037

Specialties & licenses 1

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

Addresses

Primary practice location

1000 Broadway Ste 460
Oakland, CA 94607-4033

Mailing address

1000 Broadway Ste 460
Oakland, CA 94607-4033
Phone (510) 465-5477

Other names 1

  • KIPP Bay Area Schools Other name

National Provider Directory

National Provider Directory
Tax ID family
Kipp King Collegiate17 organizations share this tax ID, including this one
Part of
Kipp King Collegiate

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1619798220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY STE 460",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074033",
            "telephone_number": "510-465-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY STE 460",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074033",
            "telephone_number": "510-465-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP KING COLLEGIATE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIPP BRIDGE ACADEMY",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "LINGSCHEIT",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MEDI-CAL BILLING MANAGER",
        "authorized_official_telephone_number": "510-992-0037"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIPP Bay Area Schools",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.