Organization Active NPI

Young Men's Christian Association of the East Bay

  • Voluntary or Charitable Agency
  • Richmond, CA
National Provider Identifier
1245393503
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
MFC27191 Issued in CA
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE EAST BAY
Practice address
3260 Blume Dr
Suite 450
Richmond, CA 94806-5203
Phone
(510) 262-6551
Fax
(510) 222-7085
NPI assigned
Dec 18, 2006
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Mr. Don Lau, M.A.
Title
Interim President and Ceo
Phone
(510) 318-7654

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Voluntary or Charitable Agency 251V00000X MFC27191 CA Primary

Addresses

Primary practice location

3260 Blume Dr
Suite 450
Richmond, CA 94806-5203

Mailing address

2330 Broadway
Oakland, CA 94612-2415
Phone (510) 451-9622

National Provider Directory

National Provider Directory
Tax ID family
Y Team2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2330 Broadway
Oakland, CA 94612

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1245393503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122415",
            "telephone_number": "510-451-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 BLUME DR",
            "address_2": "SUITE 450",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065203",
            "telephone_number": "510-262-6551",
            "fax_number": "510-222-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE EAST BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "INTERIM PRESIDENT AND CEO",
        "authorized_official_telephone_number": "510-318-7654",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "MFC27191",
            "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 Feb 15, 2017; 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.