Provider Demographics
NPI:1558799510
Name:CALIFORNIA CONNECTIONS ACADEMY @ RIPON
Entity Type:Organization
Organization Name:CALIFORNIA CONNECTIONS ACADEMY @ RIPON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:OGDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-253-1208
Mailing Address - Street 1:222 SW COLUMBIA ST
Mailing Address - Street 2:SUITE 1750
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-6600
Mailing Address - Country:US
Mailing Address - Phone:209-253-1208
Mailing Address - Fax:209-253-0406
Practice Address - Street 1:580 N WILMA AVE
Practice Address - Street 2:SUITE G
Practice Address - City:RIPON
Practice Address - State:CA
Practice Address - Zip Code:95366-9514
Practice Address - Country:US
Practice Address - Phone:209-253-1208
Practice Address - Fax:209-253-0406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA39686500125849OtherCALIFORNIA SCHOOL DIRECTORY CODE