NPIMap

Organization Active NPI

Bay Area Community Resources, Inc.

Doing business as Marin Oaks High School

  • Community/Behavioral Health Agency
  • Novato, CA
National Provider Identifier
1003060674
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BAY AREA COMMUNITY RESOURCES, INC.
Doing business as
Marin Oaks High School
Practice address
611 Arthur St
RM 4 and Counseling Ofc.
Novato, CA 94947-4499
Phone
(415) 444-5580
NPI assigned
Nov 10, 2008
Last updated
Aug 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald Bruce Blasky
Title
Chief Program Officer
Phone
(415) 755-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

611 Arthur St
RM 4 and Counseling Ofc.
Novato, CA 94947-4499

Mailing address

171 Carlos Dr
San Rafael, CA 94903-2005

Other names 1

  • Marin Oaks High School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Community Resources Inc46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Locations

611 Arthur St
Rm 4
Novato, CA 94947
Phone (415) 444-5580

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1003060674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CARLOS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ARTHUR ST",
            "address_2": "RM 4 AND COUNSELING OFC.",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474499",
            "telephone_number": "415-444-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA COMMUNITY RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "BLASKY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "415-755-2311"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marin Oaks High School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marin Oaks High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.