LAKESIDE UNION (NPI# 1770777872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770777872 |
| Entity Type | Organization |
| Organization Name | LAKESIDE UNION |
| Practice Address |
12335 Woodside Ave Lakeside CA 92040-3015 |
| Practice Telephone | 6193902620 |
| Practice Fax Number | 6193902597 |
| Mailing Telephone | 6193902620 |
| Mailing Fax Number | 6193902597 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |
| Authorized Official Name | MR. KAMRAN AZIMZADEH (DEPUTY SUPERINTENDENT) |
| Authorized Official Telephone | 6193902614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SS3768189 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAKESIDE UNION SCHOOL DISTRICT | 12335 Woodside Ave, Lakeside, CA 92040-3015 |
| Street Address |
12335 WOODSIDE AVE |
| City | LAKESIDE |
| State | CA |
| Zip Code | 92040-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134771512 | Thais Dinese St Martin | Speech-Language Pathologist | 12335 Woodside Ave, Lakeside, CA 92040 | 2019-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507476 | Edna Jean Collins | Registered Nurse | 15611 Mountain Valley Place, Lakeside, CA 92040 | 2020-10-26 |
| 1881180073 | Ryle Stous | Physical Therapist | 13552 Julian Ave, Lakeside, CA 92040 | 2018-07-10 |
| 1649709932 | Good Care Transportation, LLC | Non-emergency Medical Transport (VAN) | 10553 Valle Vista Rd, Lakeside, CA 92040 | 2017-06-08 |
| 1124555461 | Jacob Milton Murdock Iv | Student in an Organized Health Care Education/Training Program | 12064 Woodside Ave Suite 105, San Diego Center for Neurofeedback, Lakeside, CA 92040 | 2017-05-17 |
| 1891152369 | Kathy Gamboa II | Registered Nurse | 9636 Caminito Macklin, Lakeside, CA 92040 | 2016-01-28 |
| 1093118176 | Thomas Hathorn | Substance Abuse Rehabilitation Facility | 24352 Featherstone Canyon Rd., Lakeside, CA 92040 | 2014-10-02 |
| 1730361569 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 9075 Creekford Drive, Lakeside, CA 92040 | 2007-12-04 |
| 1831585561 | Genesis Recovery, Inc. | Substance Abuse Rehabilitation Facility | 24352 Featherstone Canyon Rd., Lakeside, CA 92040 | 2015-04-09 |
| 1699047506 | Amy S. Woh | Counselor | 12064 Woodside Ave Ste 105, Lakeside, CA 92040 | 2012-02-08 |
| 1811272065 | Lea Capuno Evangelista | Pharmacist | 9728 Winter Gardens Blvd, Lakeside, CA 92040 | 2011-10-19 |
| Find all providers in zip 92040 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114060076 | Blue Ridge School District No. 32 | Local Education Agency (LEA) | 1200 W White Mountain Blvd, Lakeside, AZ 85929-6532 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403553 | Sherman Thomas Charter Schools | Local Education Agency (LEA) | 101 W Adell St, Madera, CA 93638-0877 | 2020-10-07 |
| 1740895978 | Unity Schools | Local Education Agency (LEA) | 1180 70th Ave, Oakland, CA 94621-3216 | 2020-09-14 |
| 1578178786 | Unity Schools | Local Education Agency (LEA) | 6038 Brann St, Oakland, CA 94605-1544 | 2020-09-14 |
| 1942813993 | Pacific Health Education Center | Local Education Agency (LEA) | 5300 California Ave Ste 200, Bakersfield, CA 93309-1642 | 2020-08-28 |
| 1346853207 | Pacific Health Education Center Community Clinic | Local Education Agency (LEA) | 5300 California Ave Ste 220, Bakersfield, CA 93309-1644 | 2020-08-28 |
| 1164035572 | The Palmdale Aerospace Academy | Local Education Agency (LEA) | 3300 E Palmdale Blvd, Palmdale, CA 93550-5036 | 2020-08-25 |
| 1073123444 | Santa Rosa Academy, Inc | Local Education Agency (LEA) | 27587 La Piedra Rd, Menifee, CA 92584-8376 | 2020-07-31 |
| 1659989168 | Schools In Action | Local Education Agency (LEA) | 1241 S Soto St Ste 212, Los Angeles, CA 90023-2672 | 2020-07-21 |
| 1891303855 | Core Butte Charter School | Local Education Agency (LEA) | 2847 Notre Dame Blvd, Chico, CA 95928-8319 | 2020-07-16 |
| 1497372650 | Arcadia Unified School District | Local Education Agency (LEA) | 150 S 3rd Ave, Arcadia, CA 91006-3703 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.