Organization Active NPI

Cambrian School District

  • Local Education Agency (LEA)
  • San Jose, CA
National Provider Identifier
1770083842
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CAMBRIAN SCHOOL DISTRICT
Practice address
4115 Jacksol Dr
San Jose, CA 95124-3312
Phone
(408) 797-7994
NPI assigned
Feb 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Authorized official

Name
Sheila McConville
Title
District Nurse
Phone
(408) 797-7994

Specialties & licenses 1

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

Addresses

Primary practice location

4115 Jacksol Dr
San Jose, CA 95124-3312

Mailing address

4115 Jacksol Dr
San Jose, CA 95124-3312
Phone (408) 797-7994

Other identifiers 1

IdentifierTypeStateIssuer
43-69385MedicaidCA

National Provider Directory

National Provider Directory

Locations

4115 Jacksol Dr
San Jose, CA 95124
Phone (408) 797-7994

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1770083842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 JACKSOL DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243312",
            "telephone_number": "408-797-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 JACKSOL DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243312",
            "telephone_number": "408-797-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIAN SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "MCCONVILLE",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "DISTRICT NURSE",
        "authorized_official_telephone_number": "408-797-7994"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43-69385",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.