NPIMap

Organization Active NPI

Asian Community Mental Health Board

Doing business as Asian Community Mental Health Services

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1063613792
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
140000206 Issued in CA
Legal business name
ASIAN COMMUNITY MENTAL HEALTH BOARD
Doing business as
Asian Community Mental Health Services
Practice address
310 8TH St
Suite 201
Oakland, CA 94607-6526
Phone
(510) 451-6729
Fax
(510) 268-0202
NPI assigned
May 30, 2007
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Mr. Philip Sun
Title
Executive Director
Phone
(281) 794-7888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 140000206 CA Primary

Addresses

Primary practice location

310 8TH St
Suite 201
Oakland, CA 94607-6526

Mailing address

310 8TH St
Suite 201
Oakland, CA 94607-6526
Phone (510) 451-6729

Other identifiers 1

IdentifierTypeStateIssuer
0116MedicaidCA

Other names 1

  • Asian Community Mental Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Asian Comm Mental HLTH BRD4 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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1063613792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 8TH ST",
            "address_2": "SUITE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076526",
            "telephone_number": "510-451-6729",
            "fax_number": "510-268-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 8TH ST",
            "address_2": "SUITE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076526",
            "telephone_number": "510-451-6729",
            "fax_number": "510-268-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN COMMUNITY MENTAL HEALTH BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-794-7888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "140000206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asian Community Mental Health Services",
            "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 Apr 1, 2014; 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.