FAME PUBLIC CHARTER SCHOOL (NPI# 1629411665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629411665 |
| Entity Type | Organization |
| Organization Name | FAME PUBLIC CHARTER SCHOOL |
| Practice Address |
39899 Balentine Dr Suite 335 Newark CA 94560-5355 |
| Practice Telephone | 5106879111 |
| Practice Fax Number | 5106879574 |
| Mailing Telephone | 5106879111 |
| Mailing Fax Number | 5106879574 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |
| Authorized Official Name | MR. IQBAL MALIK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5104909990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | 01100170109835 | CA | Agencies |
| Street Address |
39899 BALENTINE DR SUITE 335 |
| City | NEWARK |
| State | CA |
| Zip Code | 94560-5355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912060393 | Family Service of The Tri-cities | Counselor | 39899 Balentine Dr, Suite 212, Newark, CA 94560-5355 | 2006-12-18 |
| 1396378329 | Danielle Nicole Mariko Delaney | Behavior Technician | 39899 Balentine Dr, Newark, CA 94560-5355 | 2020-02-18 |
| 1548624695 | Summit Healthcare Organization - Bay Area, LLC | Home Health | 39899 Balentine Dr, Suite 314, Newark, CA 94560-5366 | 2016-04-05 |
| 1063820199 | Advanced Healthcare Services, LLC. | Home Health | 39899 Balentine Dr, Suite 315, Newark, CA 94560-5355 | 2014-08-01 |
| 1982012019 | Healthy Living At Home, LLC | Home Health | 39899 Balentine Dr, Suite 314, Newark, CA 94560-5355 | 2014-08-01 |
| 1053508762 | Mihaela Ruth Benson | Marriage & Family Therapist | 39899 Balentine Dr, Suite 310, Newark, CA 94560-5355 | 2007-09-26 |
| 1891914172 | John David Beason | Chiropractor | 39899 Balentine Dr, Suite 310, Newark, CA 94560-5355 | 2007-04-24 |
| 1336365709 | Mark David Levine, Md Newark PC | Psychiatry & Neurology | 39899 Balentine Dr, 210, Newark, CA 94560-5355 | 2007-04-17 |
| 1053434985 | Dawn Michelle Gross | Internal Medicine | 39899 Balentine Dr, Suite 161, Newark, CA 94560-5355 | 2007-04-07 |
| 1437274164 | June B Timberlake | Marriage & Family Therapist | 39899 Balentine Dr, Suite 310, Newark, CA 94560-5355 | 2007-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1942788971 | Evelyn Ibanez | Behavioral Analyst | 35201 Lido Blvd, Newark, CA 94560 | 2018-08-01 |
| 1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1063761146 | Sarah Larae Devoe Scribner | Physical Therapist | 5600 John Muir Road, Newark, CA 94560 | 2012-09-05 |
| 1285983858 | Louie Crespo Ortiz-luis | General Practice | 35455 Dumbarton Court, Newark, CA 94560 | 2012-08-29 |
| 1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
| 1083931836 | Susan Elizabeth Hanaburgh | Marriage & Family Therapist | 39899 Balentine Drive #212, Family Service of The Tri-cities, Newark, CA 94560 | 2010-05-03 |
| 1306098694 | Maria Isabelle Santos Tuohy | Dentist | 5270 Newpark Plaza, Newark, CA 94560 | 2008-10-17 |
| 1699955765 | Jaspreet Kaur Harika | Dentist | 39736 Cedar Blvd, Newark, CA 94560 | 2007-11-06 |
| Find all providers in zip 94560 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972076404 | Maria L. Varisco-rogers Charter School | Local Education Agency (LEA) | 243 Woodside Ave, Newark, NJ 07104-3113 | 2019-01-08 |
| 1043724149 | University Heights Charter School | Local Education Agency (LEA) | 74 Hartford St, Newark, NJ 07103-2832 | 2017-11-28 |
| 1881120707 | Kipp Cooper Norcross, A New Jersey Nonprofit Corporation | Local Education Agency (LEA) | 60 Park Pl Ste 802, Newark, NJ 07102-5508 | 2017-05-11 |
| 1902339179 | People's Preparatory Charter School | Local Education Agency (LEA) | 321 Bergen St, Newark, NJ 07103-2639 | 2017-04-05 |
| 1306394762 | Newark Prep Charter School | Local Education Agency (LEA) | 570 Broad St, Newark, NJ 07102-4532 | 2016-09-14 |
| 1477962801 | Marion P. Thomas Charter High School | Local Education Agency (LEA) | 88-108 Shipman St, Newark, NJ 07102-1212 | 2014-08-11 |
| 1174955736 | Las Americas Aspira Academy | Local Education Agency (LEA) | 326 Ruthar Dr, Newark, DE 19711-8017 | 2013-08-06 |
| 1629312970 | North Star Academy | Local Education Agency (LEA) | 10 Washington Pl, Newark, NJ 07102-3106 | 2012-11-26 |
| 1760787089 | Par Excellence Academy | Local Education Agency (LEA) | 96 Maholm St, Newark, OH 43055-3906 | 2011-01-18 |
| 1548422322 | Newark Charter School | Local Education Agency (LEA) | 2001 Patriot Way, Newark, DE 19711-1809 | 2008-07-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.