ROOTS COMMUNITY HEALTH CENTER (NPI# 1932663853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932663853 |
| Entity Type | Organization |
| Organization Name | ROOTS COMMUNITY HEALTH CENTER |
| Practice Address |
7272 Macarthur Blvd Oakland CA 94605 |
| Mailing Address |
9925 International Blvd Ste 5 Oakland CA 94603-2558 |
| Practice Telephone | 5107771177 |
| Practice Fax Number | 5105502644 |
| Mailing Telephone | 5107771177 |
| Mailing Fax Number | 5105502644 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | NOHA M ABOELATA (CEO) |
| Authorized Official Telephone | 5107771177 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ROOTS COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1851785307 | Roots Community Health Center | Clinic/Center | 2700 International Blvd Ste 11, Oakland, CA 94601-1520 | 2015-03-23 |
| 1811530991 | Roots Community Health Center | Family Medicine | 200 Harrison St, Oakland, CA 94607 | 2019-10-22 |
| 1083145122 | Roots Community Health Center | Clinic/Center | 1898 The Alameda, San Jose, CA 95126-1733 | 2017-03-21 |
| 1083858823 | Roots Community Health Center | Clinic/Center | 9925 International Blvd, #5, Oakland, CA 94603-2558 | 2009-04-23 |
| Street Address |
7272 MACARTHUR BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649633579 | Lj Jennings | Driver | 7272 Macarthur Blvd, Oakland, CA 94605-2533 | 2016-03-29 |
| 1841820834 | Gregory Scott Shaw | Registered Nurse | 7272 Macarthur Blvd, Oakland, CA 94605-2533 | 2020-01-19 |
| 1477193688 | Uche Angie Ohabughiro | Registered Nurse | 7272 Macarthur Blvd, Oakland, CA 94605-2533 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
| 1417467325 | Oakland Primary Care | Clinic/Center | 19 Yawpo Ave Ste 1, Oakland, NJ 07436-2739 | 2017-10-05 |
| 1851785307 | Roots Community Health Center | Clinic/Center | 2700 International Blvd Ste 11, Oakland, CA 94601-1520 | 2015-03-23 |
| 1669813515 | Eldorado Community Service Center | Clinic/Center | 9442/9500 International Blvd., Oakland, CA 94603-1444 | 2013-07-08 |
| 1992838437 | Bay Area Consortium for Quality Health Care, Inc. | Clinic/Center | 10850 Macarthur Blvd, Oakland, CA 94605-5266 | 2007-03-13 |
| 1881799583 | Prime Medical Associates, Inc. | Clinic/Center | 817 Harrison St, Oakland, CA 94607-4422 | 2006-09-14 |
| 1548227721 | Howard D. Daniel, Md Professional Corporation | Clinic/Center | 9933 Macarthur Blvd, Oakland, CA 94605-4853 | 2006-04-30 |
| 1346879129 | Natalie Soares Pierson | Clinic/Center | 747 52nd St Ste 245, Oakland, CA 94609-1809 | 2020-04-03 |
| 1811420847 | Sarat Chandra Raman Md Inc | Clinic/Center | 5000 Macarthur Blvd, Cpm 117, Oakland, CA 94613-1301 | 2017-04-06 |
| 1427461532 | Owais Ahmad | Clinic/Center | 5709 Market St, Oakland, CA 94608-2811 | 2014-06-05 |
| 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.