ROTACARE RICHMOND FREE MEDICAL CLINIC AT BRIGHTER BEGINNINGS (NPI# 1770920886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770920886 |
Entity Type | Organization |
Organization Name | ROTACARE RICHMOND FREE MEDICAL CLINIC AT BRIGHTER BEGINNINGS |
Other Organization Name | ROTACARE BAY AREA, INC. |
Practice Address |
2727 Macdonald Ave Richmond CA 94804-3006 |
Practice Telephone | 5109037516 |
Practice Fax Number | 5102136680 |
Mailing Telephone | 5109037516 |
Mailing Fax Number | 5102136680 |
Enumeration Date | 2013-05-30 |
Last Update Date | 2013-05-30 |
Authorized Official Name | DR. PATE THOMSON (MEDICAL CO-DIRECTOR) |
Authorized Official Telephone | 5109037516 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | ROTACARE BAY AREA, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251V00000X | Voluntary or Charitable | G11694 | CA | Agencies |
Other Name | Type Code |
---|---|
RotaCare Bay Area, Inc. | Other Name - Individual/Organization |
Street Address |
2727 MACDONALD AVE |
City | RICHMOND |
State | CA |
Zip Code | 94804-3006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174729271 | Jennifer Lynn Beeckman | Nurse Practitioner | 2727 Macdonald Ave, Richmond, CA 94804-3006 | 2007-06-25 |
1205446424 | Teal Ann Dudziak | Nurse Practitioner | 2727 Macdonald Ave, Richmond, CA 94804-3006 | 2020-08-03 |
1982254116 | Tesiah Coleman | Nurse Practitioner | 2727 Macdonald Ave, Richmond, CA 94804-3006 | 2019-09-19 |
1073080164 | Erica Lipschultz | Registered Nurse | 2727 Macdonald Ave, Richmond, CA 94804-3006 | 2018-10-27 |
1821511387 | Armela Aramian | Nurse Practitioner | 2727 Macdonald Ave, Richmond, CA 94804-3006 | 2017-07-17 |
1427427293 | Alice Lim | Psychologist | 2727 Macdonald Ave, Richmond, CA 94804-3006 | 2015-09-22 |
1407270440 | Frances Grau Brull | Registered Nurse | 2727 Macdonald Ave, Richmond, CA 94804-3006 | 2014-02-11 |
1942638978 | Brighter Beginnings | Clinic/Center | 2727 Macdonald Ave, Richmond, CA 94804-3006 | 2013-10-30 |
1578903043 | Raeven Hale | Social Worker | 2727 Macdonald Ave, Richmond, CA 94804-3006 | 2013-06-28 |
1275976532 | Nailah Hunter | Social Worker | 2727 Macdonald Ave, Richmond, CA 94804-3006 | 2013-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
Find all providers in zip 94804 |
Taxonomy Code | 251V00000X |
Grouping | Agencies |
Classification | Voluntary or Charitable |
Definition to come... |
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1457587412 | Project Community II, Inc. | Voluntary or Charitable | 2907 Chamberlayne Ave, Suite: 3, Richmond, VA 23222-3542 | 2009-06-04 |
1720294952 | Chip of Greater Richmond | Voluntary or Charitable | 2922 W Marshall St, Richmond, VA 23230-4811 | 2007-05-15 |
1548307457 | The Autism Program of Virginia (tap-va) | Voluntary or Charitable | 2201 W Broad St Ste 107, Richmond, VA 23220-2022 | 2007-01-31 |
1750837662 | Hargraves Outreach Inc. | Voluntary or Charitable | 6802 Paragon Pl Ste 410, Richmond, VA 23230-1655 | 2016-08-31 |
1063719326 | Ajs Ministries Inc | Voluntary or Charitable | 3121 Stone Dale Ct, Richmond, VA 23223-2651 | 2011-02-23 |
1467590810 | The Autism Program of Virginia (tap-va) | Voluntary or Charitable | 2201 W Broad St Ste 107, Richmond, VA 23220-2022 | 2007-02-01 |
1063448934 | Jewish Family Services, Inc. | Voluntary or Charitable | 6718 Patterson Ave, Richmond, VA 23226-3419 | 2006-06-23 |
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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.