Tri-Cities

Primary specialty

CounselorTaxonomy code 101Y00000X

License

M0501041642 Issued in CA

Legal business name

TRI-CITIES

Practice address

765 Macarthur Blvd Apt H
Oakland, CA 94610-3758

Phone

(510) 893-5817

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert R. Mason

Title

Registered Addiction Specialist

Phone

(510) 374-7011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1164636254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 MACARTHUR BLVD APT H",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 MACARTHUR BLVD APT H",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103758",
            "telephone_number": "510-893-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "REGISTERED ADDICTION SPECIALIST",
        "authorized_official_telephone_number": "510-374-7011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": "M0501041642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Trent
• Jamila Ruth Trevillion
• Isabel Denise Trevino
• Jose Luis Trevino
• Pele Marceles Trevino
• Tribal Eyes
• Michelle Trieu
• Phuong Trieu, PHARM.D.
• Shirley T Trieu
• Martha Alicia Trigueros, MSW

• Counselor in Oakland, CA
• Providers in Oakland, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.