Provider Demographics
NPI:1871665414
Name:SAN MATEO-FOSTER CITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SAN MATEO-FOSTER CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SUPERINTENDENT-STUD. SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROSAS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:650-312-7777
Mailing Address - Street 1:51 41ST AVE
Mailing Address - Street 2:PO BOX K
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-5105
Mailing Address - Country:US
Mailing Address - Phone:650-312-7700
Mailing Address - Fax:
Practice Address - Street 1:51 41ST AVE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-5105
Practice Address - Country:US
Practice Address - Phone:650-312-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS4169039Medicaid