ANKA BEHAVIORAL HEALTH, INC. (NPI# 1326463597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326463597 |
| Entity Type | Organization |
| Organization Name | ANKA BEHAVIORAL HEALTH, INC. |
| Other Organization Name | AMADOR TRI-VALLEY CENTER |
| Practice Address |
2177 Las Positas Ct Ste Bc Livermore CA 94551 |
| Mailing Address |
3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 |
| Practice Telephone | 9252656160 |
| Practice Fax Number | 9252948920 |
| Mailing Telephone | 9258254700 |
| Mailing Fax Number | 9258252610 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | GINA M VYROSTEK (SENIOR QM MANAGER) |
| Authorized Official Telephone | 9258254700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CCL | 19200360 | 01 |
| Other Name | Type Code |
|---|---|
| Amador Tri-Valley Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
| 1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487070637 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1151 La Loma Drive, Nipomo, CA 93444 | 2014-03-12 |
| 1962828269 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2507 Evelyn Ave, Rosemead, CA 91770 | 2014-03-11 |
| 1598181802 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 136 N Taylor Ave, Montebello, CA 90640 | 2014-03-11 |
| 1720404239 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 942 Barbara Ln, Pomona, CA 91767 | 2014-03-07 |
| 1730505348 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2120 N Maple St, Burbank, CA 91505 | 2014-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Anka Behavioral Health, Incorporated | 1850 Gateway Boulevard, Suite 900 , Concord, CA 94520 |
| Virginia Business Entity | Anka Behavioral Health, Incorporated | 1850 GATEWAY BLVD. SUITE 900, CONCORD, CA 94520 |
| Street Address |
2177 LAS POSITAS CT STE BC |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700370897 | Mauricio Perez De La Vega Sr. | Behavioral Analyst | 564 Heligan Ln Unit 3, Livermore, CA 94551 | 2018-06-21 |
| 1528592003 | Angel Qin | Pharmacist | 7 Meritage Common, Unit 203, Livermore, CA 94551 | 2017-04-12 |
| 1538690169 | Pradeepkumar R Patel | Pharmacist | 300-g Pullman Street, Livermore, CA 94551 | 2017-03-24 |
| 1306398987 | Janella Rae Palao Bautista | Counselor | Sierra School At Livermore (lawerence Elementary), 2451 Portola Ave, Livermore, CA 94551 | 2016-10-28 |
| 1255887006 | Eye Candy, L.L.C. | Optometrist | 4423 First Street, Livermore, CA 94551 | 2016-08-31 |
| 1144675869 | Aic Health Care Inc. | Home Health | 4049 First St Ste 229, Livermore, CA 94551 | 2016-05-02 |
| 1376943704 | Danielle Leduc | Social Worker | 6112 Water Lily Cmns Apt 107, Livermore, CA 94551 | 2014-09-04 |
| 1285055939 | Tram Hoa Huynh | Pharmacist | 300 Pullman St., Livermore, CA 94551 | 2013-12-26 |
| 1902146806 | Amy Suezaki | Pharmacist | 300a Pullman St, Livermore, CA 94551 | 2013-03-01 |
| 1265793996 | Katherine-anh Tu Nguyen | Pharmacist | 300 Pullman Street, Livermore, CA 94551 | 2012-05-29 |
| Find all providers in zip 94551 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933158 | The Alliance for Community Wellness | Community/Behavioral Health | 3278 Constitution Dr, Livermore, CA 94551-7567 | 2019-07-03 |
| 1548795503 | Axis Community Health | Community/Behavioral Health | 2253 Fifth St, Livermore, CA 94550-4549 | 2017-04-27 |
| 1912260282 | Regular Or Special Education Services, Inc | Community/Behavioral Health | 1747 Pine St, Livermore, CA 94551-1937 | 2012-06-20 |
| 1427345206 | County of Alameda | Community/Behavioral Health | 554 Jackson Ave, Livermore, CA 94550-3434 | 2011-06-30 |
| 1952619132 | Alliant International University | Community/Behavioral Health | 391 Ontario Dr, Livermore, CA 94550-5249 | 2010-09-21 |
| 1912210923 | Cape Inc. | Community/Behavioral Health | 3037 Independence Dr Ste A, Livermore, CA 94551-7672 | 2010-07-19 |
| 1427374776 | Alliant International University | Community/Behavioral Health | 5757 Haggin Oaks Ave, Livermore, CA 94551-1100 | 2010-04-12 |
| 1629422308 | Connections Home Based Counseling and Consultation LLC | Community/Behavioral Health | 440 Snowmass Dr, Livermore, CO 80536-8706 | 2016-04-19 |
| 1063791242 | Randall Jay Sokoloff | Community/Behavioral Health | 3663 Pacific Ave, Livermore, CA 94550-7062 | 2011-08-05 |
| 1639458854 | County of Alameda | Community/Behavioral Health | 1453 First St, Livermore, CA 94550-4203 | 2011-08-04 |
| Find all providers in LIVERMORE | ||||
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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.