=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225247570
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAN LORENZO UNIFIED SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15510 USHER ST
-----------------------------------------------------
City | SAN LORENZO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94580-1641
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-317-4761
-----------------------------------------------------
Fax | 510-481-9910
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15510 USHER ST
-----------------------------------------------------
City | SAN LORENZO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94580-1641
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-317-4761
-----------------------------------------------------
Fax | 510-481-9910
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-DIRECTOR, SPECIAL SERVICES
-----------------------------------------------------
Name | MR. ED DIOLAZO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 510-317-4768
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------