Active NPI
Wakeup Call, Inc
Doing business as Youth Safe Haven
- Community/Behavioral Health Agency
- Sacramento, CA
National Provider Identifier
1225041668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1000162
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1127620 | Other | CA | CALIFORNIA DGS-SMALL BUSINESS AND DVBE SERVICES |
| C2329546 | Other | CA | CALIFORNIA SECRETARY OF STATE |
| 1000162 | Other | CA | SACRAMENTO COUNTY |
Other names 1
- Youth Safe Haven
National Provider Directory
National Provider Directory- Tax ID family
- Wakeup Call Inc
- 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.
-
dba WakeUp Call Inc. Community Integration (WCCI)
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1689821423
-
- Community/Behavioral Health Agency
- Carmichael, CA
- NPI 1821232752
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Sacramento, CA
- NPI 1417068685
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
- Richard T. Wakamiya, MD
- Kody Wakasa, MD
- Eugene L Wake, O.D.
- Andrew Louis Wakefield
- Samantha Leigh Wakerlin, MD
- Wakeup Call, Inc. (WakeUp Call Inc. Community Integration (WCCI))
- Wal-Mart Stoers, Inc. (Walmart Vision Center 30-2464)
- Wal-Mart Stores, Inc. (Vision Center 30-4960)
- John Walburn
- Julie Ann S. Walby, MD
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.