MEDICARE: NATIONAL SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	37-68221	OTHER	CA	MEDI-CAL.

General Provider Information

NPI Number	:	1346307089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	2777 DEL MONTE ST
Second Line	:
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-3811
Country	:	US
Telephone Number	:	916-375-1707
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N AVE
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-4827
Country	:	US
Telephone Number	:	619-336-7742
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DR. GEORGE J CAMERON
Credential	:
Telephone Number	:	619-336-7551

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	08/22/2020

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Directions to “NATIONAL SCHOOL DISTRICT ” Practice Location

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