Individual provider Active NPI

Omar S Westbrooks

  • Health & Wellness Coach
  • Alameda, CA
National Provider Identifier
1073328712
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
4236E30E12 Issued in CA
Practice address
2060 Challenger Dr Ste 200
Alameda, CA 94501-1037
Phone
(510) 337-7198
NPI assigned
Feb 10, 2025
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15895 CA
Health & Wellness Coach 171400000X 4236E30E12 CA Primary

Addresses

Primary practice location

2060 Challenger Dr Ste 200
Alameda, CA 94501-1037

Mailing address

2417 Alameda St Unit a
Vallejo, CA 94590-3303
Phone (510) 616-8225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4236E30E12CAMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1073328712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 ALAMEDA ST UNIT A",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903303",
            "telephone_number": "510-616-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CHALLENGER DR STE 200",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011037",
            "telephone_number": "510-337-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBROOKS",
        "first_name": "OMAR",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "15895",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "4236E30E12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.