Sycamore Creek Community Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SYCAMORE CREEK COMMUNITY CHARTER SCHOOL

Practice address

17131 Emerald LN
Huntington Beach, CA 92647-8702

Phone

(714) 594-3660

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Chuck A Muirhead

Title

Partner

Phone

(661) 645-4956

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1720653579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17131 EMERALD LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926478702",
            "telephone_number": "714-594-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17131 EMERALD LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926478702",
            "telephone_number": "714-594-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE CREEK COMMUNITY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "MUIRHEAD",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "661-645-4956",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS CODE",
            "identifier": "30103060139352",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.spedcare.com",
            "affiliation": "Y",
            "endpointDescription": "EHR Website",
            "affiliationName": "Practi-Cal, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR Website",
            "address_1": "6519 W Sierra St",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853043142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Local Education Agency (LEA) in Huntington Beach, CA
• Providers in Huntington Beach, 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 May 24, 2021; 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.