MEDICARE: NATOMAS USD

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)		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427147289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATOMAS USD

Provider Business Mailing Address
First Line	:	1901 ARENA BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-3721
Country	:	US
Telephone Number	:	916-567-5434
Fax Number	:	916-567-5441

Provider Business Practice Location Address
First Line	:	1901 ARENA BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-3721
Country	:	US
Telephone Number	:	916-567-5434
Fax Number	:	916-567-5441

Authorized Official
Title or Position	:	DIRECTOR OF SPECIAL EDUCATION
Name	:	MRS. SUSIE JOHNSTONE
Credential	:
Telephone Number	:	916-567-5434

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/22/2020

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Directions to “NATOMAS USD ” Practice Location

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