Provider Demographics
NPI:1285828871
Name:MT. DIABLO UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:MT. DIABLO UNIFIED SCHOOL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR, SPECIAL ED
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:POZOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-682-8000
Mailing Address - Street 1:2400 LISA LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3902
Mailing Address - Country:US
Mailing Address - Phone:925-250-6250
Mailing Address - Fax:925-682-4561
Practice Address - Street 1:2400 LISA LN
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3902
Practice Address - Country:US
Practice Address - Phone:925-250-6250
Practice Address - Fax:925-682-4561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS0761754Medicaid