Active NPI
Alameda County
- Community/Behavioral Health Agency
- Fremont, CA
National Provider Identifier
1043342728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ALAMEDA COUNTY
- Practice address
- 39155 Liberty St
Fremont, CA 94538-1513 - Phone
- (800) 878-1313
- NPI assigned
- Mar 9, 2007
- 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
- Dr. Karyn L Tribble, PSYD, LCSW
- Title
- Director
- Phone
- (510) 567-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
39155 Liberty St
Fremont, CA 94538-1513
Mailing address
PO Box 129
San Leandro, CA 94577-0929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000122 | Medicaid | CA |
Other names 1
- Tri-city Community Support Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040323001169 | CA | Part B Supplier - Clinic/Group Practice | 9739070624 |
Receives reassigned benefits from 58 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hayward, CA; San Leandro, CA; Pleasanton, CA; Oakland, CA; Fremont, CA |
National Provider Directory
National Provider DirectoryOther NPIs on the same Medicare enrollment 19
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Oakland, CA
- NPI 1043469844
-
- Psychiatry Physician
- Walnut Creek, CA
- NPI 1578908604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1043342728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 129",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945770929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39155 LIBERTY ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381513",
"telephone_number": "800-878-1313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAMEDA COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "TRIBBLE",
"authorized_official_first_name": "KARYN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "510-567-8100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD, LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000122",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tri-city Community Support Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.