Provider Demographics
NPI:1972727667
Name:SAN GABRIEL UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:SAN GABRIEL UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SYMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-451-5402
Mailing Address - Street 1:408 JUNIPERO SERRA DR
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1235
Mailing Address - Country:US
Mailing Address - Phone:626-451-5400
Mailing Address - Fax:626-451-5494
Practice Address - Street 1:408 JUNIPERO SERRA DRIVE
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776
Practice Address - Country:US
Practice Address - Phone:626-451-5400
Practice Address - Fax:626-451-5494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS1975291Medicaid