ROOTS COMMUNITY HEALTH CENTER (NPI# 1083858823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083858823 |
| Entity Type | Organization |
| Organization Name | ROOTS COMMUNITY HEALTH CENTER |
| Practice Address |
9925 International Blvd #5 Oakland CA 94603-2558 |
| Practice Telephone | 5107771177 |
| Mailing Telephone | 5107771177 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2011-03-11 |
| Authorized Official Name | DR. NOHA MAMDOUH ABOELATA (CEO) |
| Authorized Official Telephone | 5108305035 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1851785307 | Roots Community Health Center | Clinic/Center | 2700 International Blvd Ste 11, Oakland, CA 94601-1520 | 2015-03-23 |
| 1811530991 | Roots Community Health Center | Family Medicine | 200 Harrison St, Oakland, CA 94607 | 2019-10-22 |
| 1932663853 | Roots Community Health Center | Clinic/Center | 7272 Macarthur Blvd, Oakland, CA 94605 | 2019-01-24 |
| 1083145122 | Roots Community Health Center | Clinic/Center | 1898 The Alameda, San Jose, CA 95126-1733 | 2017-03-21 |
| Street Address |
9925 INTERNATIONAL BLVD #5 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94603-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250998 | East Oakland Obs Gyn Med Gp Inc | Obstetrics & Gynecology | 9925 International Blvd, Ste 1, Oakland, CA 94603 | 2005-07-27 |
| 1912539966 | Keyona Boykin | Nurse Practitioner | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-02-07 |
| 1861023640 | Kayla Perry | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1558992347 | Raven Dixon | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1831720630 | Macy Dion Harris | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1073144812 | Kye Duren | Case Management | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1699305565 | Phyllis Marie Brown-little | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-20 |
| 1104466549 | Tavare Williams Sr. | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-14 |
| 1477196210 | Rafael Kenney | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2019-10-24 |
| 1174177679 | Megan Richardson | Family Medicine | 9925 International Blvd, Oakland, CA 94603-2558 | 2019-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694092 | Kimberlyn Taylor | Behavioral Analyst | 11042 Robledo Dr, Oakland, CA 94603 | 2019-02-06 |
| 1114414315 | Christopher Maurice Cain | Community Health Worker | 9925 International Blvd #5, Oakland, CA 94603 | 2018-04-13 |
| 1720508039 | Jessie James King Jr. | Counselor | 9925 International Blvd Suite #5, 9925 International Blvd Suite #5, Oakland, CA 94603 | 2017-06-27 |
| 1619426475 | Susana Obispo | Counselor | 10429 International Boulevard, Oakland, CA 94603 | 2016-09-22 |
| 1760764955 | Paul E Rammer | Marriage & Family Therapist | 1523 Chandler Street, Oakland, CA 94603 | 2011-09-13 |
| 1285184846 | Sharrise Williams | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
| 1659821213 | Linna Hov | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
| 1699729426 | Robert Scott Millard | Physical Medicine & Rehabilitation | 500 Arguello Street, Suite 100, Redwood City, CA 94603 | 2006-05-19 |
| 1982920542 | Alwaha Travel Agency for Hajj and Umrah LLC | Non-emergency Medical Transport (VAN) | 60 98th Ave Ste 100, Oakland, CA 94603-1000 | 2010-04-07 |
| 1336637644 | Carlos Leonel Lopez | Technician, Other | 301 Clara St, Oakland, CA 94603-1101 | 2018-04-23 |
| Find all providers in zip 94603 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
| 1417467325 | Oakland Primary Care | Clinic/Center | 19 Yawpo Ave Ste 1, Oakland, NJ 07436-2739 | 2017-10-05 |
| 1851785307 | Roots Community Health Center | Clinic/Center | 2700 International Blvd Ste 11, Oakland, CA 94601-1520 | 2015-03-23 |
| 1669813515 | Eldorado Community Service Center | Clinic/Center | 9442/9500 International Blvd., Oakland, CA 94603-1444 | 2013-07-08 |
| 1992838437 | Bay Area Consortium for Quality Health Care, Inc. | Clinic/Center | 10850 Macarthur Blvd, Oakland, CA 94605-5266 | 2007-03-13 |
| 1881799583 | Prime Medical Associates, Inc. | Clinic/Center | 817 Harrison St, Oakland, CA 94607-4422 | 2006-09-14 |
| 1548227721 | Howard D. Daniel, Md Professional Corporation | Clinic/Center | 9933 Macarthur Blvd, Oakland, CA 94605-4853 | 2006-04-30 |
| 1346879129 | Natalie Soares Pierson | Clinic/Center | 747 52nd St Ste 245, Oakland, CA 94609-1809 | 2020-04-03 |
| 1932663853 | Roots Community Health Center | Clinic/Center | 7272 Macarthur Blvd, Oakland, CA 94605 | 2019-01-24 |
| 1811420847 | Sarat Chandra Raman Md Inc | Clinic/Center | 5000 Macarthur Blvd, Cpm 117, Oakland, CA 94613-1301 | 2017-04-06 |
| 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.