Organization Active NPI

Venture Academy

  • Local Education Agency (LEA)
  • Stockton, CA
National Provider Identifier
1770948614
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
251300000X
Legal business name
VENTURE ACADEMY
Practice address
2829 Transworld Dr
Stockton, CA 95206-3950
Phone
(209) 468-5940
NPI assigned
Dec 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Mrs. Mary Vink
Title
Director
Phone
(209) 468-4972

Specialties & licenses 1

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

Addresses

Primary practice location

2829 Transworld Dr
Stockton, CA 95206-3950

Mailing address

PO Box 213030
Stockton, CA 95213-9030
Phone (209) 468-5940

National Provider Directory

National Provider Directory
Tax ID family
San Joaquin County Office of Education2 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

2829 Transworld Dr
Stockton, CA 95206
Phone (209) 468-5940

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1770948614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213030",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952139030",
            "telephone_number": "209-468-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 TRANSWORLD DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952063950",
            "telephone_number": "209-468-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "VINK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-468-4972",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": "251300000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.