Organization Active NPI

Anaheim Union High School District CHDP Clinic

  • Local Education Agency (LEA)
  • Anaheim, CA
National Provider Identifier
1669659280
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ANAHEIM UNION HIGH SCHOOL DISTRICT CHDP CLINIC
Practice address
1800 W Ball Rd
Anaheim, CA 92804-5516
Phone
(714) 999-0814
Fax
(714) 999-6938
NPI assigned
Jan 25, 2008
Last updated
Jan 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Ms. Dianne Poor
Title
Assistant Superintendent Business
Phone
(714) 999-3555

Specialties & licenses 1

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

Addresses

Primary practice location

1800 W Ball Rd
Anaheim, CA 92804-5516

Mailing address

1800 W Ball Rd
Anaheim, CA 92804-5516
Phone (714) 999-0814

Other identifiers 2

IdentifierTypeStateIssuer
SS3066431MedicaidCA
1144368093OtherCANPI

National Provider Directory

National Provider Directory
Tax ID family
Anaheim Union High School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1800 W Ball Rd
Anaheim, CA 92804
Phone (714) 552-1850

Practitioners & affiliated clinicians

Practitioners 5

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": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1669659280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W BALL RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045516",
            "telephone_number": "714-999-0814",
            "fax_number": "714-999-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W BALL RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045516",
            "telephone_number": "714-999-0814",
            "fax_number": "714-999-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM UNION HIGH SCHOOL DISTRICT CHDP CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "POOR",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT BUSINESS",
        "authorized_official_telephone_number": "714-999-3555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS3066431",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144368093",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.