OLD TOWN ACADEMY
NPI 1376425819
Local Education Agency (LEA) in San Diego, CA

Q: What is Old Town Academy's NPI number?

The NPI number for Old Town Academy is 1376425819. It was assigned to this organization in the NPPES registry on July 24, 2025.

Q: What is Old Town Academy's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Q: When was this NPI record last updated?

The NPPES record for Old Town Academy was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 24, 2025

2120 SAN DIEGO AVE, SAN DIEGO, CA 92110(619) 574-6225 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Old Town Academy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD TOWN ACADEMY (NPI 1376425819) is a healthcare organization registered as a local education agency (lea) in San Diego, California and active in the NPI registry since July 2025. The organization lists Devon Phillips, Executive Director And Principal, as its authorized official.

NPPES Registry Identity

NPI1376425819

Entity TypeOrganization

Primary Taxonomy251300000X

Legal Business NameOLD TOWN ACADEMY

Location Address2120 SAN DIEGO AVESan Diego, CA 92110-2901

Mailing Address2120 San Diego Ave # 1San Diego, CA 92110-2901

Phone(619) 574-6225

Organization SubpartNo

Authorized OfficialDevon PhillipsExecutive Director And Principal · (765) 749-9266

Enumeration DateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1376425819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies

Taxonomy Code251300000X

Definition

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.

2120 SAN DIEGO AVE, San Diego, CA 92110

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KEVIN KILLACKY II

Counselor