NPIMap

Organization Active NPI

City of Fremont

Doing business as Ardenwood Elementary School

  • Community/Behavioral Health Agency
  • Fremont, CA
National Provider Identifier
1073913810
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CITY OF FREMONT
Doing business as
Ardenwood Elementary School
Practice address
33955 Emilia LN
Fremont, CA 94555-2068
Phone
(510) 794-0392
NPI assigned
Aug 29, 2014
Last updated
Aug 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Authorized official

Name
Ms. Annie Bailey, M.S., M.P.A., LMFT
Title
Administrator
Phone
(510) 574-2100

Specialties & licenses 1

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

Addresses

Primary practice location

33955 Emilia LN
Fremont, CA 94555-2068

Mailing address

39155 Liberty St., #E500
Fremont, CA 94537-5006
Phone (510) 574-2100

Other names 1

  • Ardenwood Elementary School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City of Fremont Human Services Department MSSP32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

33955 Emilia Ln
Fremont, CA 94555
Phone (510) 794-0392

33955 Emilia Ln
Rm 24B
Fremont, CA 94555

Practitioners & affiliated clinicians

Practitioners 2

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": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1073913810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39155 LIBERTY ST., #E500",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945375006",
            "telephone_number": "510-574-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33955 EMILIA LN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552068",
            "telephone_number": "510-794-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FREMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-574-2100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., M.P.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardenwood Elementary School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ardenwood Elementary School",
            "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 Aug 24, 2020; 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.