Active NPI
Fred Finch
- Community/Behavioral Health Agency
- Oakland, CA
National Provider Identifier
1275725632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FRED FINCH
- Practice address
- 3721 13TH Ave
Oakland, CA 94610-2819 - Phone
- (510) 333-2247
- NPI assigned
- Aug 9, 2007
- 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. Souamhila Cisse
- Title
- Mentak Health Counselor
- Phone
- (510) 333-2247
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3721 13TH Ave
Oakland, CA 94610-2819
Mailing address
3712 13TH Ave
Oakland, CA 94610
Phone (510) 333-2247
National Provider Directory
National Provider DirectoryLocations
3712 13TH Ave
Oakland, CA 94610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186617600000",
"number": "1275725632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3712 13TH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94610",
"telephone_number": "510-333-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3721 13TH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946102819",
"telephone_number": "510-333-2247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED FINCH",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A",
"authorized_official_last_name": "CISSE",
"authorized_official_first_name": "SOUAMHILA",
"authorized_official_title_or_position": "MENTAK HEALTH COUNSELOR",
"authorized_official_telephone_number": "510-333-2247",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"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 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.