Kavod Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

KAVOD CHARTER SCHOOL

Practice address

6991 Balboa Ave
San Diego, CA 92111-3447

Phone

(858) 386-0887

Fax

(858) 777-9197

NPI assigned

Aug 29, 2019

Organization subpart

No

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

Authorized official

Name

Tina Poudrier

Title

Education Specialist

Phone

(740) 762-0889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1659929925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6991 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113447",
            "telephone_number": "858-386-0887",
            "fax_number": "858-777-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6991 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113447",
            "telephone_number": "858-386-0887",
            "fax_number": "858-777-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVOD CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "POUDRIER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "EDUCATION SPECIALIST",
        "authorized_official_telephone_number": "740-762-0889"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kautz, DO
• Edward Kavalerchik, M.D.
• Kevin Kavanagh, PHARMD
• Nicholas Demetrios Kavathas
• Kameron Kaveh
• Sophia Kavoulakos
• Steven David Kavy, M.D.
• Nicole Veronica Kawa
• Debra Midori Kawahara, PH.D.
• Ryu Kawajiri

• Local Education Agency (LEA) in San Diego, CA
• Providers in San Diego, 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 Aug 29, 2019; 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.