Organization Active NPI

Corona-Norco Usd

  • Local Education Agency (LEA)
  • Norco, CA
National Provider Identifier
1851476931
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
CORONA-NORCO USD
Practice address
2820 Clark Ave
Norco, CA 92860-1903
Phone
(951) 736-5145
NPI assigned
Oct 26, 2006
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
Dr. Eliseo Davalos
Title
Director of Pupil Services
Phone
(951) 736-5145

Specialties & licenses 1

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

Addresses

Primary practice location

2820 Clark Ave
Norco, CA 92860-1903

Mailing address

2820 Clark Ave
Norco, CA 92860-1903
Phone (951) 736-5145

Other identifiers 1

IdentifierTypeStateIssuer
SS3367033MedicaidCA

National Provider Directory

National Provider Directory

Locations

2820 Clark Ave
Norco, CA 92860
Phone (951) 736-5000

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851476931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 CLARK AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601903",
            "telephone_number": "951-736-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 CLARK AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601903",
            "telephone_number": "951-736-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA-NORCO USD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVALOS",
        "authorized_official_first_name": "ELISEO",
        "authorized_official_title_or_position": "DIRECTOR OF PUPIL SERVICES",
        "authorized_official_telephone_number": "951-736-5145",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS3367033",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, 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.