Organization Active NPI

Mountain Empire Usd

  • Local Education Agency (LEA)
  • Pine Valley, CA
National Provider Identifier
1962686006
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MOUNTAIN EMPIRE USD
Practice address
3291 Buckman Springs Rd
Pine Valley, CA 91962-4003
Phone
(619) 473-9022
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Patrick Judd
Title
Superintendent
Phone
(619) 473-9022

Specialties & licenses 1

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

Addresses

Primary practice location

3291 Buckman Springs Rd
Pine Valley, CA 91962-4003

Mailing address

3291 Buckman Springs Rd
Pine Valley, CA 91962-4003
Phone (619) 473-9022

Other identifiers 1

IdentifierTypeStateIssuer
SS3768213OtherMEDI-CAL

National Provider Directory

National Provider Directory

Locations

3291 Buckman Springs Rd
Pine Valley, CA 91962
Phone (619) 473-8601

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1962686006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 BUCKMAN SPRINGS RD",
            "city": "PINE VALLEY",
            "state": "CA",
            "postal_code": "919624003",
            "telephone_number": "619-473-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 BUCKMAN SPRINGS RD",
            "city": "PINE VALLEY",
            "state": "CA",
            "postal_code": "919624003",
            "telephone_number": "619-473-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN EMPIRE USD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "619-473-9022"
    },
    "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": "SS3768213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.