Active NPI
Fred Brooks
- Day Training/Habilitation Specialist
- San Francisco, CA
National Provider Identifier
1093535668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 170 9TH St
San Francisco, CA 94103-2603 - Phone
- (510) 478-7190
- NPI assigned
- Oct 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Primary | ||
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
170 9TH St
San Francisco, CA 94103-2603
Mailing address
617 La Prenda Dr
Oakland, CA 94603-3542
Phone (341) 240-6423
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1093535668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 LA PRENDA DR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946033542",
"telephone_number": "341-240-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 9TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032603",
"telephone_number": "510-478-7190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "FRED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-16",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.