Healthcare Provider Details

I. General information

NPI: 1932051018
Provider Name (Legal Business Name): BRET HARTE UNION HIGH SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 S. MAIN STREET
ANGELS CAMP CA
95221
US

IV. Provider business mailing address

PO BOX 7000
ANGELS CAMP CA
95221-2005
US

V. Phone/Fax

Practice location:
  • Phone: 209-736-8312
  • Fax:
Mailing address:
  • Phone: 209-736-8312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name: SCOTT O NANIK
Title or Position: SUPERINTENDENT
Credential:
Phone: 209-736-8312