NPIMap

Organization Active NPI

Catholic Charities of the Diocese of Oakland

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Oakland, CA
National Provider Identifier
1144820499
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CATHOLIC CHARITIES OF THE DIOCESE OF OAKLAND
Practice address
3700 Dorisa Ave
Oakland, CA 94605-4941
Phone
(510) 768-3100
Fax
(510) 890-4917
NPI assigned
Oct 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Christopher Nery Martinez
Title
Chief Program Officer
Phone
(510) 823-7517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

3700 Dorisa Ave
Oakland, CA 94605-4941

Mailing address

433 Jefferson St
Oakland, CA 94607-3539
Phone (510) 768-3100

Other names 1

  • Catholic Charities East Bay Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities East Bay3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3700 Dorisa Ave
Oakland, CA 94605
Phone (510) 768-3100

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1144820499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 JEFFERSON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073539",
            "telephone_number": "510-768-3100",
            "fax_number": "510-451-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 DORISA AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054941",
            "telephone_number": "510-768-3100",
            "fax_number": "510-890-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF OAKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NERY",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "510-823-7517"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Charities East Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 27, 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.