NPIMap

Organization Active NPI

East Bay Agency for Children

  • Community/Behavioral Health Agency
  • Fremont, CA
National Provider Identifier
1124465687
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EAST BAY AGENCY FOR CHILDREN
Practice address
36700 San Pedro Dr
Fremont, CA 94536-6406
Phone
(510) 268-3770
NPI assigned
May 23, 2013
Organization subpart
Yes
Parent organization
EAST BAY AGENCY FOR CHILDRENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Catherine Haynes
Title
Client Services Specialist
Phone
(510) 844-5369

Specialties & licenses 1

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

Addresses

Primary practice location

36700 San Pedro Dr
Fremont, CA 94536-6406

Mailing address

303 Van Buren Ave
Oakland, CA 94610-4340
Phone (510) 268-3770

National Provider Directory

National Provider Directory
Tax ID family
Ebac-Claremont Middle School61 organizations share this tax ID, including this one
Part of
Ebac-Claremont Middle School

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

36700 San Pedro Dr
Fremont, CA 94536
Phone (510) 792-3232

36700 San Pedro Dr
Rm 9
Fremont, CA 94536

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1124465687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 VAN BUREN AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104340",
            "telephone_number": "510-268-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36700 SAN PEDRO DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945366406",
            "telephone_number": "510-268-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY AGENCY FOR CHILDREN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST BAY AGENCY FOR CHILDREN",
        "enumeration_date": "2013-05-23",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CLIENT SERVICES SPECIALIST",
        "authorized_official_telephone_number": "510-844-5369"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 10, 2019; 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.