WESTCOAST CHILDREN'S CLINIC (NPI# 1366645293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366645293 |
| Entity Type | Organization |
| Organization Name | WESTCOAST CHILDREN'S CLINIC |
| Practice Address |
22225 Foothill Blvd Hayward CA 94541-2712 |
| Mailing Address |
3301 E 12th St Ste 259 Oakland CA 94601-2940 |
| Practice Telephone | 5102658207 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | APRIL DESIREE FERNANDO (DIRECTOR OF RESEARCH & TRAINING) |
| Authorized Official Telephone | 5102699098 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER NUMBER | 01DW | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659590743 | Westcoast Children's Clinic | Community/Behavioral Health | 545 Ashbury Ave, El Cerrito, CA 94530-3220 | 2007-04-25 |
| 1558424374 | Westcoast Children's Clinic | Community/Behavioral Health | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2006-12-19 |
| 1366870388 | Westcoast Children's Clinic | Community/Behavioral Health | 3301 E 12th St, Suite 259, Oakland, CA 94601-3424 | 2013-10-30 |
| 1114163987 | Westcoast Children's Clinic | Community/Behavioral Health | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2008-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WESTCOAST CHILDREN'S CLINIC | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 |
| Street Address |
22225 FOOTHILL BLVD |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780062216 | Diane Fisher | Registered Nurse | 22225 Foothill Blvd, Hayward, CA 94541-2712 | 2015-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| 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 |
|---|---|---|---|---|
| 1932670031 | Richmond Area Multi-services, Inc. | Community/Behavioral Health | 22712 Foothill Blvd, Hayward, CA 94541-4208 | 2018-12-16 |
| 1841732062 | Stars, Inc. | Community/Behavioral Health | 18250 Bengal Ave, Hayward, CA 94541-2202 | 2016-11-07 |
| 1396287413 | Stars, Inc. | Community/Behavioral Health | 28027 Dickens Ave, Hayward, CA 94544-5639 | 2016-11-07 |
| 1831644335 | Seneca Family of Agencies | Community/Behavioral Health | 31410 Wheelon Ave, Hayward, CA 94544-7662 | 2016-08-25 |
| 1225583883 | Superior Counseling, LLC | Community/Behavioral Health | 10594 Main St, Hayward, WI 54843-6658 | 2016-08-23 |
| 1336599570 | Memory Daybyday | Community/Behavioral Health | 111 Jackson St, Hayward, CA 94544-1948 | 2016-06-19 |
| 1497104533 | Seneca Family of Agencies | Community/Behavioral Health | 28000 Calaroga Ave, Hayward, CA 94545-4600 | 2016-06-09 |
| 1992154603 | Hope Psychotherapy, Inc | Community/Behavioral Health | 1245 B St, Hayward, CA 94541-2915 | 2016-06-03 |
| 1417311234 | East Bay Agency for Children | Community/Behavioral Health | 520 Jefferson St, Bowman, Hayward, CA 94544-4126 | 2016-04-07 |
| 1508224486 | Stars, Inc. | Community/Behavioral Health | 17115 Meekland Ave, Hayward, CA 94541-1304 | 2016-02-05 |
| Find all providers in HAYWARD | ||||
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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.