CHILDREN'S HOSPITAL RESEARCH CENTER OAKLAND (NPI# 1497192900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497192900 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL RESEARCH CENTER OAKLAND |
| Other Organization Name | CHAPPELL HAYES HEALTH CENTER |
| Practice Address |
747 52nd St Oakland CA 94609-1809 |
| Mailing Address |
2607 Myrtle St Oakland CA 94607-3415 |
| Practice Telephone | 5104283000 |
| Mailing Telephone | 5108351393 |
| Mailing Fax Number | 5108352497 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |
| Authorized Official Name | ALLISON BRISCOE-SMITH (DIRECTOR) |
| Authorized Official Telephone | 5104283885 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN' HOSPIAL RESEARCH CENTER OAKLAND |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chappell Hayes Health Center | Other Name - Individual/Organization |
| Street Address |
747 52ND ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200928 | James Philip Riddel Jr. | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2005-07-29 |
| 1235739905 | Maria Elena Alicia Valdivia Fortuna | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-10-30 |
| 1295342707 | Jenny Chen | Dietitian, Registered | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-29 |
| 1104433028 | Phuong T Nguyen-tran | Pharmacist | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-24 |
| 1114538899 | Ji Yun Lee | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-14 |
| 1780295857 | Luis Alonso Perez Jr. | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-12 |
| 1255941803 | Aleesia Renta-ramirez | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-07 |
| 1831709773 | Carroll Taylor Brown IIi | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-05 |
| 1053921064 | Jessica Stankiewicz Lightcap | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-04 |
| 1184242307 | Cecilia Fairley | Genetic Counselor, MS | 747 52nd St, Oakland, CA 94609-1809 | 2020-07-14 |
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| 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 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1467015842 | Karen Sprinkel, Individual & Family Trauma Therapy Corporation | Clinic/Center | 3511 Monterey Blvd, Oakland, CA 94619-1606 | 2019-04-21 |
| 1093014151 | David Pingitore, Phd, Clin. Psych., Inc. | Clinic/Center | 120 Glen Eden Ave, Oakland, CA 94611-4319 | 2011-03-15 |
| 1629379896 | La Clinica De La Raza, Inc. | Clinic/Center | 1415-1423 Fruitvale Ave, Oakland, CA 94601-2320 | 2010-11-04 |
| 1598852741 | Telecare Corporation | Clinic/Center | 280 17th St, Oakland, CA 94612-4124 | 2006-10-09 |
| 1801983960 | Telecare Corporation | Clinic/Center | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2006-10-09 |
| 1861041626 | Roshelle Ogundele Licensed Clinical Social Worker Inc | Clinic/Center | 2940 Summit St, Oakland, CA 94609-3416 | 2019-09-05 |
| 1871065813 | Specialty Physicians of Garrett County, LLC | Clinic/Center | 69 Wolf Acres Dr Lowr Level, Oakland, MD 21550-2046 | 2018-12-31 |
| 1801305776 | Christie Lee | Clinic/Center | 2501 Harrison St, Oakland, CA 94612-3811 | 2017-09-23 |
| 1174050389 | Telecare Corporation | Clinic/Center | 7200 Bancroft Ave., Suite 133, Building B, Oakland, CA 94605-2480 | 2017-05-18 |
| 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.