Organization Active NPI

Oak Facility Inc

Doing business as Oakland Care Center

  • Skilled Nursing Facility
  • Oakland, CA
National Provider Identifier
1053450163
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OAK FACILITY INC
Doing business as
Oakland Care Center
Practice address
3030 Webster St
Oakland, CA 94609-3411
Phone
(510) 451-3856
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Jack Easterday
Title
President
Phone
(510) 899-7999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

3030 Webster St
Oakland, CA 94609-3411

Mailing address

330 30TH St
Oakland, CA 94609-3403

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05215HMedicaidCA

Other names 1

  • OAKLAND CARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

330 30th St
Oakland, CA 94609

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1053450163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 30TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093411",
            "telephone_number": "510-451-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "EASTERDAY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-899-7999"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05215H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKLAND CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 20, 2008; 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.