NPIMap

Organization Active NPI

The West Oakland Health Council

Doing business as Baywell Health

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
National Provider Identifier
1215058938
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
140000121 Issued in CA
Legal business name
THE WEST OAKLAND HEALTH COUNCIL
Doing business as
Baywell Health
West Oakland Health Center
Practice address
700 Adeline St
Oakland, CA 94607-2608
Phone
(510) 835-9610
Fax
(510) 272-0209
NPI assigned
Apr 2, 2007
Organization subpart
Yes
Parent organization
THE WEST OAKLAND HEALTH COUNCILAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Mr. Robert Phillips
Title
Ceo
Phone
(510) 835-9610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 140000121 CA Primary

Addresses

Primary practice location

700 Adeline St
Oakland, CA 94607-2608

Mailing address

700 Adeline St
Oakland, CA 94607-2608
Phone (510) 835-9610

Other names 2

  • Baywell Health Doing business as
  • West Oakland Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110314000251 CA Part A Provider - Federally Qualified Health Center (FQHC) 9537062302 Practice locations: Oakland, CA
O20120420000113 CA Part B Supplier - Clinic/Group Practice 9537062302 Receives reassigned benefits from 49 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Berkeley, CA; Oakland, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215058938. Details of each certification follow.

Federally qualified health center certification: CCN 051801

Legal name
THE WEST OAKLAND HEALTH COUNCIL
Doing business as
WEST OAKLAND HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 2, 1968 in CA
Enrollment address
700 Adeline St
Oakland, CA 94607-2608

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
West Oakland Health

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Loyd Ware Individual Corporate DirectorBoard Vice President May 4, 2017
Angela Robinson Individual W-2 Managing EmployeeCfo Aug 2, 2021
Samson Gerbrekidan Mael Individual W-2 Managing EmployeeCoo Sep 1, 2022
Maribeth Ugalde Individual W-2 Managing EmployeeComptroller Mar 7, 1984
Ingrid Lamirault Individual Corporate DirectorBoard President Apr 27, 2020
Carol Burton Individual Corporate DirectorBoard Treasurer Apr 26, 2020
Michele Antoinette Byrd Individual Corporate DirectorBoard Member Jun 1, 2016
Robert Phillips Individual Corporate OfficerCeo Aug 19, 2022
W-2 Managing EmployeeCeo Aug 19, 2022
Amanda del Carmen Vasquez Individual Corporate DirectorBoard Member Jun 1, 2016
Henry . Davis Individual Corporate DirectorBoard Member Jun 1, 2016
Justus Samuels Individual Corporate DirectorBoard Secretary May 25, 2019

Practitioners & affiliated clinicians

Practitioners 7

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1215058938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ADELINE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072608",
            "telephone_number": "510-835-9610",
            "fax_number": "510-272-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ADELINE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072608",
            "telephone_number": "510-835-9610",
            "fax_number": "510-272-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WEST OAKLAND HEALTH COUNCIL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WEST OAKLAND HEALTH COUNCIL",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-835-9610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "140000121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baywell Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Oakland Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Oakland Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.