Active NPI
Cal Pep
- Community/Behavioral Health Agency
- Oakland, CA
National Provider Identifier
1174059653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CAL PEP
- Practice address
- 2811 Adeline St
Oakland, CA 94608-4409 - Phone
- (510) 874-7850
- NPI assigned
- May 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gloria Lockett
- Title
- Executive Director
- Phone
- (510) 874-7850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2811 Adeline St
Oakland, CA 94608-4409
Mailing address
2811 Adeline St
Oakland, CA 94608-4409
Phone (510) 874-7850
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0980628 | Cal Pep Mobile Van | Provider-performed microscopy | Mar 17, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Cal Pep
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Oakland, CA
- NPI 1093969891
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1083888903
Locations
2811 Adeline St
Oakland, CA 94608
Phone (510) 874-7850
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Oakland, CA
- NPI 1588185441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493769600000",
"number": "1174059653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 ADELINE ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946084409",
"telephone_number": "510-874-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 ADELINE ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946084409",
"telephone_number": "510-874-7850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAL PEP",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-03",
"last_updated": "2017-05-03",
"status": "A",
"authorized_official_last_name": "LOCKETT",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "510-874-7850",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"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 May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.