Individual provider Active NPI

Cristy Alexandra Gamez Manzanares

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1245841022
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129929 Issued in CA
Practice address
150 Grand Ave Ste 200
Oakland, CA 94612-3726
Phone
(510) 923-1099
Fax
(510) 923-0894
NPI assigned
Aug 13, 2020
Reactivated
Aug 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA
Clinical Social Worker 1041C0700X 129929 CA Primary

Addresses

Primary practice location

150 Grand Ave Ste 200
Oakland, CA 94612-3726

Mailing address

150 Grand Ave Ste 200
Oakland, CA 94612-3726
Phone (510) 923-1099

Other practice location 1

1605 Jefferson St
Oakland, CA 94612-1215
Phone (510) 923-1099

Other practice location 2

5820 Stoneridge Mall Rd Ste 205
Pleasanton, CA 94588-3347
Phone (877) 418-2978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1245841022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GRAND AVE STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123726",
            "telephone_number": "510-923-1099",
            "fax_number": "510-923-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GRAND AVE STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123726",
            "telephone_number": "510-923-1099",
            "fax_number": "510-923-0894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121215",
            "country_code": "US",
            "telephone_number": "510-923-1099",
            "fax_number": "510-923-0894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5820 Stoneridge Mall Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945883347",
            "country_code": "US",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMEZ MANZANARES",
        "first_name": "CRISTY",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "deactivation_date": "2026-08-11",
        "reactivation_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "129929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.