THE WEST OAKLAND HEALTH COUNCIL (NPI# 1073750022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073750022 |
| Entity Type | Organization |
| Organization Name | THE WEST OAKLAND HEALTH COUNCIL |
| Practice Address |
451 28th St Community Recovery Center West Oakland CA 94609-3602 |
| Mailing Address |
700 Adeline St Oakland CA 94607-2608 |
| Practice Telephone | 5102734900 |
| Mailing Telephone | 5108359610 |
| Mailing Fax Number | 5102720209 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2017-05-17 |
| 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 | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| 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 |
| 1073769402 | The West Oakland Health Council | Public Health or Welfare | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2008-08-18 |
| 1568583789 | The West Oakland Health Council | Clinic/Center | 700 Adeline St, Oakland, CA 94607-2608 | 2007-04-03 |
| Street Address |
451 28TH ST COMMUNITY RECOVERY CENTER WEST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235352444 | The West Oakland Health Council | Substance Abuse Rehabilitation Facility | 451 28th St, Oakland, CA 94609-3602 | 2007-04-10 |
| 1588866883 | Rodney Lewis | Counselor | 451 28th St, Oakland, CA 94609-3602 | 2007-05-31 |
| 1760683692 | Jocelyn Robertson | Counselor | 451 28th St, Oakland, CA 94609-3602 | 2007-05-29 |
| 1144431826 | Ali Da | Counselor | 451 28th St, Oakland, CA 94609-3602 | 2007-05-24 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023544863 | Mhn Government Services LLC | Clinic/Center | 344 Pendleton Way, Oakland, CA 94621-2102 | 2017-05-11 |
| 1982841938 | The West Oakland Health Council | Clinic/Center | 3007 Telegraph Ave # B, Options for Recovery, Oakland, CA 94609-3205 | 2009-01-13 |
| 1992906986 | Capitol Business Development Inc. | Clinic/Center | 2535 High St, Oakland, CA 94601-4835 | 2007-05-29 |
| 1700097136 | Capitol Business Development Inc. | Clinic/Center | 250 10th St, Oakland, CA 94607-4437 | 2007-05-25 |
| 1710198155 | Capitol Business Development Inc. | Clinic/Center | 365 45th St, Oakland, CA 94609-2259 | 2007-05-25 |
| 1427269869 | Capitol Business Development Inc. | Clinic/Center | 1075 62nd St, Oakland, CA 94608-2321 | 2007-05-25 |
| 1518178953 | Capitol Business Development Inc. | Clinic/Center | 247 Marlow Dr, Oakland, CA 94605-5821 | 2007-05-25 |
| 1356552798 | Capitol Business Development Inc. | Clinic/Center | 2701 22nd Ave, Oakland, CA 94606-3521 | 2007-05-25 |
| 1245441682 | Capitol Business Development Inc. | Clinic/Center | 9175 Edes Ave, Oakland, CA 94603-1151 | 2007-05-25 |
| 1992916332 | Capitol Business Development Inc. | Clinic/Center | 1701 E 19th St, Oakland, CA 94606-4000 | 2007-05-25 |
| 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.