Organization Active NPI

Center for Occupational Health

  • Psychiatry Physician
  • Richmond, CA
National Provider Identifier
1215289608
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A84559 Issued in CA
Legal business name
CENTER FOR OCCUPATIONAL HEALTH
Practice address
3260 Blume Dr Ste 450
Richmond, CA 94806-5203
Phone
(510) 323-2524
NPI assigned
Oct 9, 2012
Last updated
Oct 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Vladimir Bokarius, MDNPI 1629021365
Title
Medical Director
Phone
(510) 323-2524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY22492 CA
Group Psychotherapy Psychologist 103TP2701X PSB37064 CA
Psychiatry Physician 2084P0800X A84559 CA Primary

Addresses

Primary practice location

3260 Blume Dr Ste 450
Richmond, CA 94806-5203

Mailing address

3260 Blume Dr Ste 450
Richmond, CA 94806-5203
Phone (510) 323-2524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130221000425 CA Part B Supplier - Clinic/Group Practice 2860647914 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, CA; San Francisco, CA; San Mateo, CA

National Provider Directory

National Provider Directory

Locations

2970 Hilltop Mall Rd
Ste 101
Richmond, CA 94806
Phone (510) 243-9750

2186 Geary Blvd
Ste 310
San Francisco, CA 94115
Phone (415) 787-4667

100 S Ellsworth Ave
Ste 511
San Mateo, CA 94401
Phone (650) 276-5171

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": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1215289608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 BLUME DR STE 450",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065203",
            "telephone_number": "510-323-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 BLUME DR STE 450",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065203",
            "telephone_number": "510-323-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR OCCUPATIONAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "BOKARIUS",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "510-323-2524",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY22492",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSB37064",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A84559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.