Eastside Esd

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

EASTSIDE ESD

Practice address

45006 30TH St E
Lancaster, CA 93535-2815

Phone

(661) 952-1200

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia Grennan

Title

Superintendent

Phone

(661) 952-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962553248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CONCOURS",
            "address_2": "SUITE 4102",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644875",
            "telephone_number": "909-944-7798",
            "fax_number": "909-481-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45006 30TH ST E",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935352815",
            "telephone_number": "661-952-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE ESD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRENNAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "661-952-1200"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "SS1964477",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dynamic Rehab Physical Therapy Center Inc
• Jared Gabriel Dyson, CPRP
• Lamanique Easter, CADC-CAS, LCSW
• Kevin Francis Eric Eastham, PA C
• Boryana Eastman, M.D., PH.D.
• David E Eckel, D.C.
• Moneer J Eddin, M.D.
• Haley Edler
• Kelli Edmond, OTR/L
• Winston Love Edmond, PT

• Local Education Agency (LEA) in Lancaster, CA
• Providers in Lancaster, 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 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.