MEDICARE: LINCOLN MIDDLE SCHOOL, SANTA MONICA UNIFIED 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)

General Provider Information

NPI Number	:	1780538876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINCOLN MIDDLE SCHOOL, SANTA MONICA UNIFIED SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	1501 CALIFORNIA AVE
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4305
Country	:	US
Telephone Number	:	310-393-9227
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 CALIFORNIA AVE
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4305
Country	:	US
Telephone Number	:	310-393-9227
Fax Number	:

Authorized Official
Title or Position	:	SCHOOL COUNSELOR
Name	:	MRS. AIMEE TOLENTINO STAUFFER
Credential	:	PPS
Telephone Number	:	310-393-9227

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

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