Active NPI
Young Men's Christian Association of the East Bay
- Voluntary or Charitable Agency
- Richmond, CA
National Provider Identifier
1245393503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- License
- MFC27191
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 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 Team
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Richmond, CA
- NPI 1700934403
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.