Healthcare Provider Details

I. General information

NPI: 1659563450
Provider Name (Legal Business Name): SNOWLINE JOINT UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4075 NIELSON RD
PHELAN CA
92371-8896
US

IV. Provider business mailing address

PO BOX 296000
PHELAN CA
92329-6000
US

V. Phone/Fax

Practice location:
  • Phone: 760-868-5817
  • Fax: 760-868-5806
Mailing address:
  • Phone: 760-868-5817
  • Fax: 760-868-5806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC JOHNSTON
Title or Position: DEPUTY SUPERINTENDENT
Credential: PHD
Phone: 760-868-5817