CESAR CHAVEZ MTU (NPI# 1376735621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376735621 |
| Entity Type | Organization |
| Organization Name | CESAR CHAVEZ MTU |
| Other Organization Name | ALAMEDA COUNTY CCS |
| Practice Address |
1000 Broadway Suite 500 Oakland CA 94607-4099 |
| Mailing Address |
2825 International Blvd Room C121 Oakland CA 94601-1543 |
| Practice Telephone | 5102673278 |
| Practice Fax Number | 5102687110 |
| Mailing Telephone | 5104345200 |
| Mailing Fax Number | 5104345222 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |
| Authorized Official Name | SUSAN JOHNSON (CHIEF THERAPIST) |
| Authorized Official Telephone | 5102673278 |
| Authorized Official Credential | PT |
| Is Organization Subpart | Y |
| Parent Organization Name | ALAMEDA COUNTY CCS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICAL PROVIDER NUMBER | CCS00134F | 01 |
| Other Name | Type Code |
|---|---|
| Alameda County CCS | Doing Business As Name - Organization |
| Street Address |
1000 BROADWAY SUITE 500 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-4099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689100927 | Justin Koenig | Physical Therapist | 1000 Broadway, Suite 500, Oakland, CA 94607-4099 | 2017-05-05 |
| 1881011195 | Nebiyat Hagos | Social Worker | 1000 Broadway, Suite 102, Oakland, CA 94607-4099 | 2014-03-25 |
| 1326464876 | Poonam Prasad-carnahan | Social Worker | 1000 Broadway, Oakland, CA 94607-4099 | 2014-03-07 |
| 1790031946 | Laurel Annmarie Barber | Registered Nurse | 1000 Broadway, First Floor, Oakland, CA 94607-4099 | 2012-07-25 |
| 1831368604 | Andrea Zeppa | Social Worker | 1000 Broadway, Suite 102, Oakland, CA 94607-4099 | 2008-02-26 |
| 1740463744 | Joan Edelstein | Registered Nurse | 1000 Broadway, 5th Floor, Oakland, CA 94607-4099 | 2007-12-12 |
| 1417130592 | Kimberly Denise Wesley | Registered Nurse | 1000 Broadway, Oakland, CA 94607-4099 | 2007-12-11 |
| 1912180092 | Elizabeth Rowan | Registered Nurse | 1000 Broadway, Suite 500, Oakland, CA 94607-4099 | 2007-12-11 |
| 1023298346 | Jared Fine | Dentist | 1000 Broadway, Ste 500, Oakland, CA 94607-4099 | 2007-11-05 |
| 1104017540 | Muntu Ramel Davis | Family Medicine | 1000 Broadway, Fifth Floor, Oakland, CA 94607-4099 | 2007-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
| Find all providers in zip 94607 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417499153 | Teresa Hopkins | Physical Therapist | 330 Park View Ter Apt 103, Oakland, CA 94610-4670 | 2016-11-11 |
| 1942537436 | Lisa Jane Katzman | Physical Therapist | 180 Grand Ave Ste 225, Oakland, CA 94612-3769 | 2009-11-04 |
| 1053460261 | West Oakland Mtu | Physical Therapist | 1240 18th St, Ralph Bunch School, Rm Ccs1, Oakland, CA 94607-2223 | 2007-01-09 |
| 1225400930 | Sarah Wagoner | Physical Therapist | 3600 Broadway, Oakland, CA 94611-5730 | 2015-10-21 |
| 1942679659 | Moran Arad | Physical Therapist | 4341 Piedmont Ave Ste 3, Oakland, CA 94611-4767 | 2015-09-23 |
| 1700155967 | Magnolia Dela Cruz | Physical Therapist | 4442 Piedmont Ave, Oakland, CA 94611-4231 | 2011-12-16 |
| 1366730186 | Josephine Diana Raggio Stark | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2011-07-13 |
| 1609066422 | Margaret Jane Ritchey | Physical Therapist | 747 52nd St, Oakland, CA 94609-1809 | 2007-07-27 |
| 1952421547 | Jennifer Murphy Sims | Physical Therapist | 312 Clay St Ste 150, Oakland, CA 94607-3510 | 2007-03-29 |
| 1235299231 | Debra C Patrizi | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-12-11 |
| Find all providers in OAKLAND | ||||
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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.