NPIMap

Organization Active NPI

Bay Area Community Resources, Inc

  • Community/Behavioral Health Agency
  • San Pablo, CA
National Provider Identifier
1003462987
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
Practice address
1231 18TH St
San Pablo, CA 94806-4703
Phone
(510) 231-1435
Fax
(510) 233-8961
NPI assigned
Aug 15, 2019
Organization subpart
Yes
Parent organization
BAY AREA COMMUNITY RESOURCESAs reported in NPPES

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 Primary

Addresses

Primary practice location

1231 18TH St
San Pablo, CA 94806-4703

Mailing address

11175 San Pablo Ave
El Cerrito, CA 94530-2157
Phone (510) 559-3009

Other names 1

  • Downer Elementary School-MH 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
Part of
Bay Area Community Resources Inc

Other organizations with this tax ID 45

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

View all 45

Locations

11175 San Pablo Ave
El Cerrito, CA 94530
Phone (510) 559-3009

1231 18th St
San Pablo, CA 94806
Phone (510) 231-1435

Practitioners & affiliated clinicians

Practitioners 1

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": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1003462987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302157",
            "telephone_number": "510-559-3009",
            "fax_number": "510-559-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 18TH ST",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948064703",
            "telephone_number": "510-231-1435",
            "fax_number": "510-233-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA COMMUNITY RESOURCES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY AREA COMMUNITY RESOURCES",
        "enumeration_date": "2019-08-15",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-01",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downer Elementary School-MH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Downer Elementary School-MH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pablo, 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.