NPIMap

Organization Active NPI

East Bay Agency for Children

  • Community/Behavioral Health Agency
  • San Lorenzo, CA
National Provider Identifier
1265866248
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EAST BAY AGENCY FOR CHILDREN
Practice address
620 Drew St
Hesperian
San Lorenzo, CA 94580-1046
Phone
(510) 268-3770
NPI assigned
Aug 27, 2013
Organization subpart
Yes
Parent organization
EAST BAY AGENCY FOR CHILDRENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Marilyn Davis
Title
Cqi Administrative Coordinator
Phone
(510) 506-5332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

620 Drew St
Hesperian
San Lorenzo, CA 94580-1046

Mailing address

2828 Ford St
Oakland, CA 94601-2114
Phone (510) 844-5368

National Provider Directory

National Provider Directory
Tax ID family
Ebac-Claremont Middle School61 organizations share this tax ID, including this one
Part of
Ebac-Claremont Middle School

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

620 Drew St
Ashland, CA 94580

620 Drew St
Rm 7266
Ashland, CA 94580

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1265866248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 FORD ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012114",
            "telephone_number": "510-844-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 DREW ST",
            "address_2": "HESPERIAN",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945801046",
            "telephone_number": "510-268-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY AGENCY FOR CHILDREN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST BAY AGENCY FOR CHILDREN",
        "enumeration_date": "2013-08-27",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "CQI ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "510-506-5332"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.