Organization Active NPI

Hacienda la Puente Usd

  • Local Education Agency (LEA)
  • La Puente, CA
National Provider Identifier
1801098421
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SS1973445MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.