1679126908 NPI number — ALBERT EINSTEIN MIDDLE SCHOOL /SACRAMENTO CITY UNIFIED SCHOOL DISTRICT

Table of content: PEGGY ANN PARKER APRN (NPI 1497192439)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679126908 NPI number — ALBERT EINSTEIN MIDDLE SCHOOL /SACRAMENTO CITY UNIFIED SCHOOL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALBERT EINSTEIN MIDDLE SCHOOL /SACRAMENTO CITY UNIFIED SCHOOL DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679126908
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/16/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5735 47TH AVENUE, STUDENT SUPPORT & HEALTH SERVICES
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95824
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-643-9141
Provider Business Mailing Address Fax Number:
916-399-2028

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9325 MIRANDY DRIVE, ALBERT EINSTEIN MIDDLE SCHOOL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-395-5310
Provider Business Practice Location Address Fax Number:
916-228-5813
Provider Enumeration Date:
07/16/2019

Additional Information

Authorized Official

Authorized Official Last Name:
FLORES
Authorized Official First Name:
VICTORIA
Authorized Official Middle Name:
LEIGH
Authorized Official Title or Position:
DIRECTOR, STUDENT SUPPORT -HEALTH S
Authorized Official Telephone Number:
916-643-9144

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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