Active NPI
Hacienda la Puente Usd
- Local Education Agency (LEA)
- La Puente, CA
National Provider Identifier
1801098421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- HACIENDA LA PUENTE USD
- Practice address
- 455 Glendora Ave
La Puente, CA 91744-4519 - Phone
- (626) 933-6507
- Fax
- (626) 855-8598
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Matsumoto
- Title
- Asst. Superintendent, Bus. Serv.
- Phone
- (626) 933-6526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | CA | Primary |
Addresses
Primary practice location
455 Glendora Ave
La Puente, CA 91744-4519
Mailing address
455 Glendora Ave
La Puente, CA 91744-4519
Phone (626) 933-6507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SS1973445 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
455 Glendora Ave
La Puente, CA 91744
Phone (626) 933-6507
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Covina, CA
- NPI 1154836906
-
- Mental Health Counselor
- Hawaiian Gardens, CA
- NPI 1750758652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801098421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 GLENDORA AVE",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917444519",
"telephone_number": "626-933-6507",
"fax_number": "626-855-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 GLENDORA AVE",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917444519",
"telephone_number": "626-933-6507",
"fax_number": "626-855-8598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HACIENDA LA PUENTE USD",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MATSUMOTO",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "ASST. SUPERINTENDENT, BUS. SERV.",
"authorized_official_telephone_number": "626-933-6526"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SS1973445",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Puente, 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.