Family Bridges Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FAMILY BRIDGES INC

Practice address

275 14TH Street
Oakland, CA 94612

Phone

(510) 839-9673

Fax

(510) 839-9674

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Corinne Susan Jan, RD

Title

Chief Executive Officer

Phone

(510) 839-2270

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Family Bridges Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Family Bridges Inc

  • Case Manager/Care Coordinator
  • Oakland, CA
  • NPI 1659038875
  NPD tax ID
• Family Bridges Inc

  • Adult Day Care Clinic/Center
  • Oakland, CA
  • NPI 1679787360
  NPD tax ID

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033324447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 11TH STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94607",
            "telephone_number": "510-839-2022",
            "fax_number": "510-839-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 14TH STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94612",
            "telephone_number": "510-839-9673",
            "fax_number": "510-839-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BRIDGES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-839-2270",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHC",
            "identifier": "ADU70200F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heshaam M. Fallah, MD
• Abimbola Alexandria Falowo
• Elizabeth Rowan Faltis
• Faltz Associates, Inc.
• Emily Patricia Fama
• Family Bridges Inc
• Family Bridges Inc
• Family Bridges Inc
• Family Care Transportation Inc
• Family Center for Sexual Abuse Prevention and Therapy

• Adult Day Care Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.