Organization Active NPI

Wakeup Call, Inc

Doing business as Youth Safe Haven

  • Community/Behavioral Health Agency
  • Sacramento, CA
National Provider Identifier
1225041668
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1000162 Issued in CA
Legal business name
WAKEUP CALL, INC
Doing business as
Youth Safe Haven
Practice address
3602 26TH Ave
Sacramento, CA 95820-4804
Phone
(916) 596-5928
Fax
(866) 310-8868
NPI assigned
Aug 15, 2006
Organization subpart
Yes
Parent organization
WAKEUP CALL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Theo Nkwopara
Title
President/Ceo
Phone
(916) 475-2557

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1000162 CA Primary
Voluntary or Charitable Agency 251V00000X 1000162 CA

Addresses

Primary practice location

3602 26TH Ave
Sacramento, CA 95820-4804

Mailing address

PO Box 293744
Sacramento, CA 95829-3744
Phone (916) 596-5928

Other identifiers 3

IdentifierTypeStateIssuer
1127620OtherCACALIFORNIA DGS-SMALL BUSINESS AND DVBE SERVICES
C2329546OtherCACALIFORNIA SECRETARY OF STATE
1000162OtherCASACRAMENTO COUNTY

Other names 1

  • Youth Safe Haven Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wakeup Call Inc3 organizations share this tax ID, including this one
Part of
Wakeup Call Inc

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1225041668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293744",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958293744",
            "telephone_number": "916-596-5928",
            "fax_number": "866-310-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 26TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958204804",
            "telephone_number": "916-596-5928",
            "fax_number": "866-310-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEUP CALL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKEUP CALL, INC.",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "NKWOPARA",
        "authorized_official_first_name": "THEO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "916-475-2557",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1000162",
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "1000162",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DGS-SMALL BUSINESS AND DVBE SERVICES",
            "identifier": "1127620",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA SECRETARY OF STATE",
            "identifier": "C2329546",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SACRAMENTO COUNTY",
            "identifier": "1000162",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Safe Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.