Lodi Unified School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

SS3968585 Issued in CA

Legal business name

LODI UNIFIED SCHOOL DISTRICT

Practice address

1305 E Vine St
Lodi, CA 95240-3148

Phone

(209) 712-6268

NPI assigned

Feb 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irvin Jefferson

Title

Director

Phone

(209) 712-6268

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699813824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E VINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403148",
            "telephone_number": "209-712-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E VINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403148",
            "telephone_number": "209-712-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-712-6268"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "SS3968585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS3968585",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lodi Plaza Head & Neck Medical Assoc Inc
• Lodi Podiatry Group
• Lodi Sick Room Supply Inc
• Lodi Skilled Nursing Services, Inc. (Fairmont Rehabilitation Hospital)
• Lodi Sleep Disorders Management Group LP
• Lodi Urological Medical Group, Inc.
• Christopher Logoteta
• Longs Drug Stores California LLC (CVS Pharmacy #09261)
• Longs Drug Stores California LLC (CVS Pharmacy #09243)
• Elissa Marie Loock

• Local Education Agency (LEA) in Lodi, CA
• Providers in Lodi, 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 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.