OUR COMMON GROUND, INC. - EPA (NPI# 1366844060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366844060 |
| Entity Type | Organization |
| Organization Name | OUR COMMON GROUND, INC. - EPA |
| Practice Address |
2560 Pulgas Ave East Palo Alto CA 94303-1323 |
| Mailing Address |
631 Woodside Rd Redwood City CA 94061-3847 |
| Practice Telephone | 6503256466 |
| Practice Fax Number | 6503256467 |
| Mailing Telephone | 6503647988 |
| Mailing Fax Number | 6503647987 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| 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 | 324500000X | Substance Abuse Rehabilitation Facility | 410012CN | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEPARTMENT OF HEALTH CARE SERVICES | 410012CN | 01 |
| Street Address |
2560 PULGAS AVE |
| City | EAST PALO ALTO |
| State | CA |
| Zip Code | 94303-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902956881 | Alexander Yuryevich Avanesov | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2007-01-11 |
| 1326681321 | Elyse Tierney | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2019-10-22 |
| 1124513296 | Benjamin Wood | Social Worker | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2018-06-29 |
| 1699278374 | Runjhun Nitin Pandit | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2018-03-09 |
| 1437651189 | Todd Newell Henderson | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2018-03-08 |
| 1134644925 | Natalia Olave | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2017-08-14 |
| 1275058869 | Donald Vernon Dressel | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2017-08-04 |
| 1780134890 | Chad Avalon | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2016-10-12 |
| 1851845317 | Ronica Markoquies Clark | Marriage & Family Therapist | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2016-08-12 |
| 1053760033 | Shelly Colclough | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2016-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1528514759 | Healthright360 | Community/Behavioral Health | 2396 University Avenue, East Palo Alto, CA 94303 | 2016-08-28 |
| 1932652013 | Tala Sailele | Counselor | 2560 Pulgas Ave., East Palo Alto, CA 94303 | 2016-07-26 |
| 1952784308 | Lakshmi Leishangthem | Psychiatry & Neurology | Byers Eye Institute Stanford Health Care 2452 Watson Ct, 2452 Watson Court, Palo Alto, CA 94303 | 2015-07-02 |
| 1083041636 | Malaika House | Substance Abuse Rehabilitation Facility | 819 & 823 Jamie Lane, East Palo Alto, CA 94303 | 2013-09-27 |
| 1184913246 | Naeem Hashmi Medical Corporation | Internal Medicine | 957 Colonial Lane, Palo Alto, CA 94303 | 2011-03-29 |
| 1346550902 | Elizabeth A. Herb, M.d., A Professional Corporation | Clinic/Center | 851 Southampton Dr., Palo Alto, CA 94303 | 2010-10-18 |
| 1083878367 | Achievekids | Health Maintenance Organization | 3860 Middlefield Road, Achievekids, Palo Alto, CA 94303 | 2008-07-15 |
| 1528192895 | Susann Elizabeth Amborn | Psychologist | 1020 Corporation Way, Suite 201, Palo Alto, CA 94303 | 2007-03-16 |
| 1356409882 | Steven Richard Sanislo | Ophthalmology | 2452 Watson Court, Palo Alto, CA 94303 | 2006-12-05 |
| Find all providers in zip 94303 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841626116 | Walker House/ Williams House I & II | Substance Abuse Rehabilitation Facility | 1095 Weeks St, East Palo Alto, CA 94303-1341 | 2013-09-18 |
| 1679868715 | Free At Last:community Recovery and Rehabilitation Services | Substance Abuse Rehabilitation Facility | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2011-06-16 |
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| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | EAST PALO ALTO |
| Zip Code | 94303 |
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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.