Central California Connections Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CENTRAL CALIFORNIA CONNECTIONS ACADEMY

Practice address

4216 S Mooney Blvd
Visalia, CA 93277-9143

Phone

(559) 713-1324

Fax

(559) 713-1330

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Richard Savage

Title

Principal

Phone

(949) 461-1667

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1831527894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SW COLUMBIA ST",
            "address_2": "SUITE 1750",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972016600",
            "telephone_number": "559-713-1324",
            "fax_number": "559-713-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779143",
            "telephone_number": "559-713-1324",
            "fax_number": "559-713-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CALIFORNIA CONNECTIONS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "949-461-1667"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA SCHOOL DIRECTORY CODE",
            "identifier": "54718030112458",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirian Ceballos
• Mildred Ceja
• Alexandria Celedon
• Reyna Cendejas
• Center Neurorestoration Associates Inc., a Professional Corporation (Center Neurorestoration Associates Inc.)
• Central California Pediatric Specialty Medical Group Inc
• Central California Physical Therapy Specialist
• Central California Psychological Services, Inc
• Central California Radiology Associates Inc
• Central Coast Medical Aesthetics Inc

• Local Education Agency (LEA) in Visalia, CA
• Providers in Visalia, 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 Jan 12, 2016; 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.