Provider Demographics
NPI:1134254584
Name:PAJARO VALLEY UNITIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:PAJARO VALLEY UNITIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:831-786-2135
Mailing Address - Street 1:294 GREEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-1300
Mailing Address - Country:US
Mailing Address - Phone:831-786-2130
Mailing Address - Fax:831-728-8107
Practice Address - Street 1:294 GREEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-1300
Practice Address - Country:US
Practice Address - Phone:831-786-2130
Practice Address - Fax:831-728-8107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
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
CASS4469799Medicaid