NPIMap

Organization Active NPI

East Lake Elementary

  • Local Education Agency (LEA)
  • Clearlake Oaks, CA
National Provider Identifier
1992134100
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
EAST LAKE ELEMENTARY
Practice address
13050 High Valley Road
Clearlake Oaks, CA 95423
Phone
(707) 998-3387
NPI assigned
Nov 7, 2013
Last updated
Nov 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Debi Malley
Title
Principal
Phone
(707) 998-3387

Specialties & licenses 1

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

Addresses

Primary practice location

13050 High Valley Road
Clearlake Oaks, CA 95423

Mailing address

PO Box 577
Clearlake Oaks, CA 95423-0577
Phone (707) 998-3387

Other names 1

  • Konocti Unified Other name

National Provider Directory

National Provider Directory
Tax ID family
Blue Heron4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1992134100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "CLEARLAKE OAKS",
            "state": "CA",
            "postal_code": "954230577",
            "telephone_number": "707-998-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 HIGH VALLEY ROAD",
            "city": "CLEARLAKE OAKS",
            "state": "CA",
            "postal_code": "95423",
            "telephone_number": "707-998-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LAKE ELEMENTARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "MALLEY",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "707-998-3387"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Konocti Unified",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clearlake Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.