Healthcare Provider Details

I. General information

NPI: 1639083090
Provider Name (Legal Business Name): ASPIRE PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 EL CAMINO AVE
SACRAMENTO CA
95821-5611
US

IV. Provider business mailing address

4202 CORONADO AVE
STOCKTON CA
95204-2328
US

V. Phone/Fax

Practice location:
  • Phone: 916-201-5982
  • Fax:
Mailing address:
  • Phone: 209-921-0865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHARON LOTHROP JOHNSON
Title or Position: ASSOCIATE SUPERINTENDENT
Credential:
Phone: 209-921-0865