Organization Active NPI

Fieldbrook Elementary School District

  • Local Education Agency (LEA)
  • McKinleyville, CA
National Provider Identifier
1962559559
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
FIELDBROOK ELEMENTARY SCHOOL DISTRICT
Practice address
4070 Fieldbrook Rd
McKinleyville, CA 95519-8129
Phone
(707) 839-3201
NPI assigned
Jan 4, 2007
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
Carlena Moss
Title
Superintendent
Phone
(707) 839-3201

Specialties & licenses 1

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

Addresses

Primary practice location

4070 Fieldbrook Rd
McKinleyville, CA 95519-8129

Mailing address

2777 Del Monte St
West Sacramento, CA 95691-3811
Phone (916) 375-1707

Other identifiers 1

IdentifierTypeStateIssuer
12-62794OtherCAMEDI-CAL

National Provider Directory

National Provider Directory

Locations

4070 Fieldbrook Rd
McKinleyville, CA 95519
Phone (707) 839-3201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962559559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 DEL MONTE ST",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913811",
            "telephone_number": "916-375-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 FIELDBROOK RD",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955198129",
            "telephone_number": "707-839-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELDBROOK ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "CARLENA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "707-839-3201"
    },
    "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": "12-62794",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinleyville, 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.