WESTCOAST CHILDREN'S CLINIC (NPI# 1558424374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558424374 |
| Entity Type | Organization |
| Organization Name | WESTCOAST CHILDREN'S CLINIC |
| Practice Address |
3301 E 12th St Ste 259 Oakland CA 94601-2940 |
| Practice Telephone | 5102699030 |
| Practice Fax Number | 5102699031 |
| Mailing Telephone | 5102699030 |
| Mailing Fax Number | 5102699031 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | APRIL DESIREE FERNANDO (CLINICAL DIRECTOR) |
| 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 | 81931 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366645293 | Westcoast Children's Clinic | Community/Behavioral Health | 22225 Foothill Blvd, Hayward, CA 94541-2712 | 2007-06-07 |
| 1659590743 | Westcoast Children's Clinic | Community/Behavioral Health | 545 Ashbury Ave, El Cerrito, CA 94530-3220 | 2007-04-25 |
| 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 |
3301 E 12TH ST STE 259 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517531 | Simone Miriam Weber | Marriage & Family Therapist | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2020-10-26 |
| 1083220016 | Brittnay Nichele Stevens | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2020-09-16 |
| 1306459037 | Nicole Cabigao Francisco | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2020-08-24 |
| 1245849140 | Steven Henry | Marriage & Family Therapist | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2020-07-27 |
| 1548894439 | Hailey Holl-valdez | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2020-02-28 |
| 1780226365 | Quynh H Nguyen | Community Health Worker | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2019-10-15 |
| 1184265407 | Kemi Oladipo | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2019-10-08 |
| 1659921500 | Alana Turner | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2019-09-12 |
| 1518510783 | Saul Mendoza-loera | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2019-07-17 |
| 1205488350 | Yanina M Rivera Lopez | Counselor | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2019-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| 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 |
|---|---|---|---|---|
| 1679107056 | Caliber Autism Care LLC | Community/Behavioral Health | 2604 Invitational Dr, Oakland, MI 48363-2455 | 2020-02-25 |
| 1346894532 | Stars, Inc. | Community/Behavioral Health | 8000 Birch St, Oakland, CA 94621-2313 | 2019-07-26 |
| 1659923191 | Stars, Inc. | Community/Behavioral Health | 915 Foothill Blvd., Oakland, CA 94606-3013 | 2019-07-15 |
| 1285195537 | Diversity In Health Training Institute | Community/Behavioral Health | 310 8th St Ste 303, Oakland, CA 94607-4253 | 2019-03-28 |
| 1700362159 | Options Recovery Services | Community/Behavioral Health | 1630 10th St, Oakland, CA 94607-1426 | 2018-07-18 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1821501446 | Options Recovery Services | Community/Behavioral Health | 1020 59th St, Oakland, CA 94608-2302 | 2017-11-06 |
| 1649783267 | Options Recovery Services | Community/Behavioral Health | 1053 59th St, Oakland, CA 94608-2362 | 2017-11-06 |
| 1093228611 | Options Recovery Services | Community/Behavioral Health | 5121 West St, Oakland, CA 94608-3253 | 2017-11-06 |
| 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.