NPIMap

Organization Active NPI

Bay Area Community Resources, Inc.

  • Community/Behavioral Health Agency
  • San Rafael, CA
National Provider Identifier
1194044966
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BAY AREA COMMUNITY RESOURCES, INC.
Practice address
4 Jeannette Prandi Way
Orientation Conference RM & Counseling RM
San Rafael, CA 94903-1133
Phone
(415) 499-6659
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Donald Bruce Blasky
Title
Chief Program Officer
Phone
(415) 755-2311

Specialties & licenses 1

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

Addresses

Primary practice location

4 Jeannette Prandi Way
Orientation Conference RM & Counseling RM
San Rafael, CA 94903-1133

Mailing address

171 Carlos Dr
San Rafael, CA 94903-2005
Phone (415) 755-2305

Other names 1

  • Marin County Juvenile Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Community Resources Inc46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1194044966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CARLOS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032005",
            "telephone_number": "415-755-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JEANNETTE PRANDI WAY",
            "address_2": "ORIENTATION CONFERENCE RM & COUNSELING RM",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031133",
            "telephone_number": "415-499-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA COMMUNITY RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "BLASKY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "415-755-2311"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marin County Juvenile Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Marin County Juvenile Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.