WEST OAKLAND MTU (NPI# 1053460261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053460261 |
| Entity Type | Organization |
| Organization Name | WEST OAKLAND MTU |
| Other Organization Name | ALAMEDA COUNTY CCS |
| Practice Address |
1240 18th St Ralph Bunch School, Rm Ccs1 Oakland CA 94607-2223 |
| Mailing Address |
1000 Broadway Fl 5 Oakland CA 94607-4099 |
| Practice Telephone | 5108792261 |
| Practice Fax Number | 5108791672 |
| Mailing Telephone | 5102673278 |
| Mailing Fax Number | 5102682719 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSAN L JOHNSON (CHIEF THERAPIST) |
| Authorized Official Telephone | 5102673278 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CCS PROVIDER NUMBER | CCS00101F | 01 |
| Other Name | Type Code |
|---|---|
| Alameda County CCS | Doing Business As Name - Organization |
| Street Address |
1240 18TH ST RALPH BUNCH SCHOOL, RM CCS1 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962928127 | Gabrielle Duhl | Counselor | 1240 18th St, Oakland, CA 94607-2223 | 2017-08-19 |
| 1295286102 | Alameda Family Services | Community/Behavioral Health | 1240 18th St, Oakland, CA 94607-2223 | 2016-10-17 |
| 1205262847 | East Bay Agency for Children | Community/Behavioral Health | 1240 18th St, Bunche, Oakland, CA 94607-2223 | 2013-09-14 |
| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745233 | Tejal Shah Chokshi | Physical Therapist | 7425 La Mantanza, San Diego, CA 92127-3636 | 2020-09-16 |
| 1487277992 | Katherine Anne Zweier | Physical Therapist | 4646 Van Dyke Ave, San Diego, CA 92116-4842 | 2020-05-19 |
| 1184246621 | Achieving Milestones Pediatric Therapy, Inc | Physical Therapist | 221 E Glenoaks Blvd # 225a, Glendale, CA 91207-2085 | 2020-05-07 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1215585690 | Maggie Christine Ridenhour | Physical Therapist | 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 | 2019-08-29 |
| 1477100162 | Fasia Ramirez | Physical Therapist | 35510 Schuber Ln, Temecula, CA 92592-8125 | 2019-08-19 |
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1649836669 | Karin Stohn | Physical Therapist | 100 Mcgivern Way, Santa Cruz, CA 95060-9300 | 2019-05-15 |
| 1376108597 | Karen Dzierski Cruise | Physical Therapist | 10860 Topanga Canyon Blvd, Chatsworth, CA 91311-1350 | 2019-05-02 |
| 1326511064 | Lissett Rojas | Physical Therapist | 855 N Lark Ellen Ave Ste L, West Covina, CA 91791-1099 | 2019-01-04 |
| Find all providers with the same taxonomy | ||||
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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.