OUR COMMON GROUND, INC (NPI# 1306268867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306268867 |
Entity Type | Organization |
Organization Name | OUR COMMON GROUND, INC |
Practice Address |
26 Central Ave Redwood City CA 94061-3823 |
Mailing Address |
631 Woodside Rd Redwood City CA 94061-3847 |
Practice Telephone | 6503647988 |
Enumeration Date | 2014-01-16 |
Last Update Date | 2014-01-16 |
Authorized Official Name | ORVILLE ROACHE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6503647988 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
4125 | CA | Ambulatory Health Care Facilities |
Street Address |
26 CENTRAL AVE |
City | REDWOOD CITY |
State | CA |
Zip Code | 94061-3823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992178743 | Luis Amaya | Counselor | 26 Central Ave, Redwood City, CA 94061-3823 | 2015-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962044933 | Klaire Marie Finlayson | Technician | 628 Iris Street, Redwood City, CA 94061 | 2019-10-11 |
1568010148 | Shieh and Luo Dental Group | Dentist | 801 Woodside Rd #3, Suite #3, Redwood City, CA 94061 | 2019-08-28 |
1518433432 | Jacqueline Tumalan | Lactation Consultant, Non-RN | 267 Vera Avenue, Redwood City, CA 94061 | 2018-10-18 |
1508242314 | Althea Rogers | Registered Nurse | 1695 Hampton Ave, Redwood City, CA 94061 | 2015-08-04 |
1073881975 | Rebecca Lynn Cordero | Marriage & Family Therapist | 1690 Woodside Road, Suite 112, Redwood City, CA 94061 | 2011-12-06 |
1720362379 | Brendan James Murray | Counselor | 1614 Hudson St #203, Redwood City, CA 94061 | 2011-09-30 |
1770800245 | Gerald Cera | Internal Medicine | 1011 Whitehall Ln., Redwood City, CA 94061 | 2010-04-23 |
1144407743 | Pamela Burford | Case Manager/Care Coordinator | 2648 International Bld, Oakland, CA 94061 | 2008-01-25 |
1235347634 | Charles Robert Carter | Dentist | 1391 Woodside Rd Suite 210, Redwood City, CA 94061 | 2007-05-18 |
1255437521 | Doreen Weissman Landes | Marriage & Family Therapist | 61 Renato Court, Suite 20, Redwood City, CA 94061 | 2006-09-15 |
Find all providers in zip 94061 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1902193956 | El Centro De Libertad/the Freedom Center, Inc. | Clinic/Center | 500 Allerton St, Second Floor, Redwood City, CA 94063-1519 | 2011-06-28 |
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City | REDWOOD CITY |
Zip Code | 94061 |
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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.