Active NPI
JCS-Pine Valley
- Local Education Agency (LEA)
- Pine Valley, CA
National Provider Identifier
1922903111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- JCS-PINE VALLEY
- Practice address
- 28876 Old Hwy 80
Pine Valley, CA 91962 - Phone
- (619) 473-1300
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- Yes
- Parent organization
- JULIAN CHARTER SCHOOL, LNC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claire Roush
- Title
- Director of Operations
- Phone
- (619) 832-1220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | NU | Primary |
Addresses
Primary practice location
28876 Old Hwy 80
Pine Valley, CA 91962
Mailing address
PO Box 1438
Pine Valley, CA 91962-1438
Phone (619) 473-1300
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1922903111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1438",
"city": "PINE VALLEY",
"state": "CA",
"postal_code": "919621438",
"telephone_number": "619-473-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28876 OLD HWY 80",
"city": "PINE VALLEY",
"state": "CA",
"postal_code": "91962",
"telephone_number": "619-473-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JCS-PINE VALLEY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JULIAN CHARTER SCHOOL, LNC.",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "ROUSH",
"authorized_official_first_name": "CLAIRE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "619-832-1220"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Valley, CA
- Diego Briseno
- Centro de Salud de la Comunidad de San Ysidro Inc (San Ysidro Mountain Empire School Clinic)
- Christina Crane, PPS
- Rex Eldon Grizzle, DDS
- Cheri Ippolito
- Kaela M Knight
- Peter William Krahling
- McAlister Institute for Treatment & Education, Inc. (Mount Empire Union Teen Recovery Center)
- Jo Emery Miller, LCSW
- Mountain Empire Usd
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.