Organization Active NPI

Kipp Bridge Academy

  • Local Education Agency (LEA)
  • Oakland, CA
National Provider Identifier
1003170986
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
KIPP BRIDGE ACADEMY
Practice address
991 14TH St
Oakland, CA 94607-3230
Phone
(510) 465-5477
Fax
(510) 465-5520
NPI assigned
Jun 26, 2012
Organization subpart
Yes
Parent organization
KIPP BRIDGE CHARTER SCHOOLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Nicholas Lingscheit
Title
Medi-Cal Billing Manager
Phone
(510) 992-0037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

991 14TH St
Oakland, CA 94607-3230

Mailing address

1 Kaiser PLZ Ste 550
Oakland, CA 94612-3611
Phone (510) 465-5477

Other names 1

  • KIPP Bay Area Schools Other name

National Provider Directory

National Provider Directory
Tax ID family
Kipp King Collegiate17 organizations share this tax ID, including this one
Part of
Kipp King Collegiate

Other organizations with this tax ID 16

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

View all 16

Locations

1404 Franklin St
Ste 500
Oakland, CA 94612

1 Kaiser Plz
Ste 550
Oakland, CA 94612
Phone (408) 747-7590

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1003170986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KAISER PLZ STE 550",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123611",
            "telephone_number": "510-465-5477",
            "fax_number": "510-465-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 14TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073230",
            "telephone_number": "510-465-5477",
            "fax_number": "510-465-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP BRIDGE ACADEMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIPP BRIDGE CHARTER SCHOOL",
        "enumeration_date": "2012-06-26",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "LINGSCHEIT",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MEDI-CAL BILLING MANAGER",
        "authorized_official_telephone_number": "510-992-0037"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIPP Bay Area Schools",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.