Organization Active NPI

Moreland School District

  • Local Education Agency (LEA)
  • San Jose, CA
National Provider Identifier
1871860809
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MORELAND SCHOOL DISTRICT
Practice address
4711 Campbell Ave
San Jose, CA 95130-1790
Phone
(408) 874-2936
Fax
(408) 874-2938
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Ms. Karen L Jelcick
Title
Asst Superintendent of Business Ser
Phone
(408) 874-2951

Specialties & licenses 1

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

Addresses

Primary practice location

4711 Campbell Ave
San Jose, CA 95130-1790

Mailing address

4711 Campbell Ave
San Jose, CA 95130-1790
Phone (408) 874-2936

Other identifiers 1

IdentifierTypeStateIssuer
SS4369575MedicaidCA

National Provider Directory

National Provider Directory

Locations

4711 Campbell Ave
San Jose, CA 95130
Phone (408) 874-2936

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1871860809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 CAMPBELL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301790",
            "telephone_number": "408-874-2936",
            "fax_number": "408-874-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 CAMPBELL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301790",
            "telephone_number": "408-874-2936",
            "fax_number": "408-874-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORELAND SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "JELCICK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASST SUPERINTENDENT OF BUSINESS SER",
        "authorized_official_telephone_number": "408-874-2951",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS4369575",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.