Organization Active NPI

Prep

  • Counselor
  • Oakland, CA
National Provider Identifier
1083954531
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PREP
Practice address
1814 Franklin St
400
Oakland, CA 94612-3487
Phone
(510) 318-6100
NPI assigned
Feb 20, 2013
Last updated
Feb 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Tanya Renee Lear
Title
Care Advocate Intern
Phone
(510) 409-9231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1814 Franklin St
400
Oakland, CA 94612-3487

Mailing address

1814 Franklin St
Oakland, CA 94612-3487
Phone (510) 318-6100

National Provider Directory

National Provider Directory
Tax ID family
East Bay Community Recovery Project7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1814 Franklin St
Oakland, CA 94612
Phone (510) 318-6100

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1083954531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 FRANKLIN ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123487",
            "telephone_number": "510-318-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 FRANKLIN ST",
            "address_2": "400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123487",
            "telephone_number": "510-318-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "LEAR",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CARE ADVOCATE INTERN",
        "authorized_official_telephone_number": "510-409-9231"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 21, 2013; 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.