THE WEST OAKLAND HEALTH COUNCIL (NPI# 1457471500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457471500 |
| Entity Type | Organization |
| Organization Name | THE WEST OAKLAND HEALTH COUNCIL |
| Other Organization Name | BERKELEY ADULT DAY HEALTH CENTER |
| Practice Address |
1890 Alcatraz Ave Berkeley CA 94703-2715 |
| Mailing Address |
700 Adeline St Oakland CA 94607-2608 |
| Practice Telephone | 5106010167 |
| Mailing Telephone | 5108359610 |
| Mailing Fax Number | 5102720209 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | MR. BENJAMIN F. PETTUS (CEO) |
| Authorized Official Telephone | 5108359610 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE WEST OAKLAND HEALTH COUNCIL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1457471500 | 05 |
| Other Name | Type Code |
|---|---|
| Berkeley Adult Day Health Center | Doing Business As Name - Organization |
| 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 |
| 1073750022 | The West Oakland Health Council | Clinic/Center | 451 28th St, Community Recovery Center West, Oakland, CA 94609-3602 | 2009-01-13 |
| 1073769402 | The West Oakland Health Council | Public Health or Welfare | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2008-08-18 |
| Street Address |
1890 ALCATRAZ AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94703-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689799520 | City of Berkeley | Clinic/Center | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2007-03-20 |
| 1801413877 | Laloni Carter | Registered Nurse | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2020-06-25 |
| 1902420516 | Marcus Dwayne Davis | Student in an Organized Health Care Education/Training Program | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2020-05-31 |
| 1164916532 | Karl Guy | Registered Nurse | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2018-06-19 |
| 1003318957 | Joshua Schwartz | Student in an Organized Health Care Education/Training Program | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2018-03-07 |
| 1710429642 | City of Berkeley | Clinic/Center | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2016-11-09 |
| 1487030102 | Nancy Gutierrez | Registered Nurse | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2015-08-04 |
| 1861787574 | Sharon Frasier | Case Manager/Care Coordinator | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2011-06-10 |
| 1629284815 | Zhanetta Vaysman | Registered Nurse | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2007-05-15 |
| 1659585578 | Michael Praus | Social Worker | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
| 1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
| 1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
| 1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
| Find all providers in zip 94703 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184744138 | The West Oakland Health Council | Clinic/Center | 2960 Sacramento St, Berkeley, CA 94702-2510 | 2007-03-30 |
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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.