Active NPI
St. Mary'S Center
- Case Management Agency
- Oakland, CA
National Provider Identifier
1023337243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- ASW 27607
- Legal business name
- ST. MARY'S CENTER
- Practice address
- 925 Brockhurst St
Oakland, CA 94608-4222 - Phone
- (510) 923-9600
- Fax
- (510) 923-9606
- NPI assigned
- May 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carol Johnson
- Title
- Executive Director
- Phone
- (510) 923-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | ASW 27607 | CA | Primary |
Addresses
Primary practice location
925 Brockhurst St
Oakland, CA 94608-4222
Mailing address
925 Brockhurst St
Oakland, CA 94608-4222
Phone (510) 923-9600
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274918400000",
"number": "1023337243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 BROCKHURST ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946084222",
"telephone_number": "510-923-9600",
"fax_number": "510-923-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 BROCKHURST ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946084222",
"telephone_number": "510-923-9600",
"fax_number": "510-923-9606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MARY'S CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-27",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "510-923-9600",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "CA",
"license": "ASW 27607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.