NPIMap

Organization Active NPI

Kidango

  • Community/Behavioral Health Agency
  • Hayward, CA
National Provider Identifier
1033326855
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
91020529 Issued in CA
Legal business name
KIDANGO
Practice address
23640 Reed Way
Hayward, CA 94541-7326
Phone
(408) 315-7678
NPI assigned
May 17, 2007
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
James ComfortNPI 1851437552
Title
Director of Behavioral Health
Phone
(408) 315-7678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 91020529 CA Primary

Addresses

Primary practice location

23640 Reed Way
Hayward, CA 94541-7326

Mailing address

44000 Old WRM SPG Blvd
Fremont, CA 94538-6145
Phone (510) 897-6900

Other practice location 1

43100 Isle Royal St
Fremont, CA 94538-3942
Phone (510) 897-6900

National Provider Directory

National Provider Directory
Tax ID family
Kidango4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

43100 Isle Royal St
Fremont, CA 94538
Phone (510) 449-5261

44049 Fremont Blvd
Fremont, CA 94538

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1033326855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44000 OLD WRM SPG BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386145",
            "telephone_number": "510-897-6900",
            "fax_number": "510-897-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23640 REED WAY",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945417326",
            "telephone_number": "408-315-7678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43100 Isle Royal St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945383942",
            "country_code": "US",
            "telephone_number": "510-897-6900",
            "fax_number": "510-897-6909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDANGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "COMFORT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "408-315-7678"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "91020529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.