THE WEST OAKLAND HEALTH COUNCIL


Address: 451 28th St, Community Recovery Center West, Oakland, CA 94609-3602
Phone: 5102734900

THE WEST OAKLAND HEALTH COUNCIL (NPI# 1073750022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073750022
Entity Type Organization
Organization Name THE WEST OAKLAND HEALTH COUNCIL
Practice Address 451 28th St
Community Recovery Center West
Oakland
CA 94609-3602
Mailing Address 700 Adeline St
Oakland
CA 94607-2608
Practice Telephone 5102734900
Mailing Telephone 5108359610
Mailing Fax Number 5102720209
Enumeration Date 2009-01-13
Last Update Date 2017-05-17
Authorized Official Name MR. BENJAMIN F. PETTUS (CEO)
Authorized Official Telephone 5108359610
Is Organization Subpart Y
Parent Organization Name THE WEST OAKLAND HEALTH COUNCIL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982841938 The West Oakland Health Council Clinic/Center 3007 Telegraph Ave # B, Options for Recovery, Oakland, CA 94609-3205 2009-01-13
1689825366 The West Oakland Health Council Clinic/Center 2730 Adeline Street, Oakland, CA 94607 2008-10-01
1235352444 The West Oakland Health Council Substance Abuse Rehabilitation Facility 451 28th St, Oakland, CA 94609-3602 2007-04-10
1508987652 The West Oakland Health Council Clinic/Center 7501 International Blvd, Oakland, CA 94621 2007-04-03
1679522627 The West Oakland Health Council Clinic/Center 700 Adeline St, Oakland, CA 94607-2608 2006-05-08
1528540838 The West Oakland Health Council Pharmacy 7450 International Blvd, Oakland, CA 94621-2806 2018-09-04
1164973491 The West Oakland Health Council Community/Behavioral Health 8251 Fontaine St, Oakland, CA 94605-4109 2016-10-21
1174873350 The West Oakland Health Council Community/Behavioral Health 960 10th St, Oakland, CA 94607-3106 2012-09-14
1073769402 The West Oakland Health Council Public Health or Welfare 3007 Telegraph Ave, Oakland, CA 94609-3205 2008-08-18
1568583789 The West Oakland Health Council Clinic/Center 700 Adeline St, Oakland, CA 94607-2608 2007-04-03

Office Location

Street Address 451 28TH ST
COMMUNITY RECOVERY CENTER WEST
City OAKLAND
State CA
Zip Code 94609-3602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235352444 The West Oakland Health Council Substance Abuse Rehabilitation Facility 451 28th St, Oakland, CA 94609-3602 2007-04-10
1588866883 Rodney Lewis Counselor 451 28th St, Oakland, CA 94609-3602 2007-05-31
1760683692 Jocelyn Robertson Counselor 451 28th St, Oakland, CA 94609-3602 2007-05-29
1144431826 Ali Da Counselor 451 28th St, Oakland, CA 94609-3602 2007-05-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104457159 Gerard John-charles Coughlin Student in an Organized Health Care Education/Training Program Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 2020-01-29
1417502022 Michael Knittel Registered Nurse 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1962057562 Nicole Kjolby Registered Nurse Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1396208286 Graham Vallis Student in an Organized Health Care Education/Training Program Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 2019-04-09
1386129526 Gary Mitchell Snider Counselor 390 40th Street, Oakland, CA 94609 2018-10-02
1720568389 Lice Control Inc. Technician 6557 Shattuck Ave, Oakland, CA 94609 2018-08-14
1528559150 Jenna Marie Kincaid Behavior Technician 400 29th St., 204, Oakland, CA 94609 2018-05-18
1336656669 Nicholas Dicarlo Social Worker 465 34th St Ste 6, Oakland, CA 94609 2018-01-09
1174045744 Theodora J Marzouk Home Health Aide 3317 Elm Street, Suite 202, Oakland, CA 94609 2017-07-14
1740728922 Elena Gardella Marriage & Family Therapist 411 30th Street, Suite 412, Oakland, CA 94609 2017-02-07
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023544863 Mhn Government Services LLC Clinic/Center 344 Pendleton Way, Oakland, CA 94621-2102 2017-05-11
1982841938 The West Oakland Health Council Clinic/Center 3007 Telegraph Ave # B, Options for Recovery, Oakland, CA 94609-3205 2009-01-13
1992906986 Capitol Business Development Inc. Clinic/Center 2535 High St, Oakland, CA 94601-4835 2007-05-29
1700097136 Capitol Business Development Inc. Clinic/Center 250 10th St, Oakland, CA 94607-4437 2007-05-25
1710198155 Capitol Business Development Inc. Clinic/Center 365 45th St, Oakland, CA 94609-2259 2007-05-25
1427269869 Capitol Business Development Inc. Clinic/Center 1075 62nd St, Oakland, CA 94608-2321 2007-05-25
1518178953 Capitol Business Development Inc. Clinic/Center 247 Marlow Dr, Oakland, CA 94605-5821 2007-05-25
1356552798 Capitol Business Development Inc. Clinic/Center 2701 22nd Ave, Oakland, CA 94606-3521 2007-05-25
1245441682 Capitol Business Development Inc. Clinic/Center 9175 Edes Ave, Oakland, CA 94603-1151 2007-05-25
1992916332 Capitol Business Development Inc. Clinic/Center 1701 E 19th St, Oakland, CA 94606-4000 2007-05-25
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Competitor

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City OAKLAND
Zip Code 94609

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Dataset Information

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.

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