NPIMap

Organization Active NPI

Oakland Unified School District

  • Local Education Agency (LEA)
  • Oakland, CA
National Provider Identifier
1215289467
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
LCSW 21739 Issued in CA
Legal business name
OAKLAND UNIFIED SCHOOL DISTRICT
Practice address
3031 E 18TH St
Oakland, CA 94601-2457
Phone
(510) 436-3636
NPI assigned
Oct 12, 2012
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Kelly Lo, LCSW , PPSC
Title
Clinical Supervisor
Phone
(415) 816-1424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X LCSW 21739 CA Primary

Addresses

Primary practice location

3031 E 18TH St
Oakland, CA 94601-2457

Mailing address

915 54TH St
Oakland, CA 94608-3142
Phone (415) 816-1424

Other names 1

  • Urban Promise Academy Other name

National Provider Directory

National Provider Directory
Tax ID family
Oakland Unified School District24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

3031 E 18th St
Oakland, CA 94601
Phone (510) 436-3636

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1215289467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 54TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946083142",
            "telephone_number": "415-816-1424",
            "fax_number": "510-874-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 E 18TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012457",
            "telephone_number": "510-436-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "415-816-1424",
        "authorized_official_credential": "LCSW , PPSC"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "LCSW 21739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urban Promise Academy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Urban Promise Academy",
            "code": "5",
            "type": "Other 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 7, 2022; 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.