Organization Active NPI

St. Mary'S Center

  • Case Management Agency
  • Oakland, CA
National Provider Identifier
1023337243
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
ASW 27607 Issued in CA
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

Updated by the provider on May 27, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.