Organization Active NPI

Atwater Elementary School District

  • Local Education Agency (LEA)
  • Atwater, CA
National Provider Identifier
1679798433
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
ATWATER ELEMENTARY SCHOOL DISTRICT
Practice address
1401 Broadway Ave
Atwater, CA 95301-3546
Phone
(209) 357-6100
Fax
(209) 358-0133
NPI assigned
Apr 16, 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. Sharlene Herrera
Title
Director of Special Programs
Phone
(209) 357-6100

Specialties & licenses 1

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

Addresses

Primary practice location

1401 Broadway Ave
Atwater, CA 95301-3546

Mailing address

1401 Broadway Ave
Atwater, CA 95301-3546
Phone (209) 357-6100

Other identifiers 1

IdentifierTypeStateIssuer
SS2465631MedicaidCA

National Provider Directory

National Provider Directory

Locations

1401 Broadway Ave
Atwater, CA 95301
Phone (209) 357-6100

Practitioners & affiliated clinicians

Practitioners 4

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679798433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BROADWAY AVE",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953013546",
            "telephone_number": "209-357-6100",
            "fax_number": "209-358-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BROADWAY AVE",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953013546",
            "telephone_number": "209-357-6100",
            "fax_number": "209-358-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATWATER ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL PROGRAMS",
        "authorized_official_telephone_number": "209-357-6100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS2465631",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, 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.