NPIMap

Organization Active NPI

East Bay Agency for Children

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1184817090
Registry record updated Sep 19, 2018
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
1700 Market St
Oakland, CA 94607-3330
Phone
(510) 268-3770
Fax
(510) 268-1073
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Kelley ReardonNPI 1487850376
Title
Qa
Phone
(510) 268-3770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1700 Market St
Oakland, CA 94607-3330

Mailing address

1700 Market St
Oakland, CA 94607-3330
Phone (510) 268-3770

Other names 1

  • EAST BAY AGENCY FOR CHILDREN Former legal business name

National Provider Directory

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

Organizations with this tax ID in the same state 24

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

View all 24

Locations

1700 Market St
Oakland, CA 94607
Phone (510) 543-0078

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1184817090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MARKET ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073330",
            "telephone_number": "510-268-3770",
            "fax_number": "510-268-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MARKET ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073330",
            "telephone_number": "510-268-3770",
            "fax_number": "510-268-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY AGENCY FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "QA",
        "authorized_official_telephone_number": "510-268-3770"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST BAY AGENCY FOR CHILDREN",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "EAST BAY AGENCY FOR CHILDREN",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 19, 2018; 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.