NPIMap

Organization Active NPI

The West Oakland Health Council

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
National Provider Identifier
1285754234
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
140000028 Issued in CA
Legal business name
THE WEST OAKLAND HEALTH COUNCIL
Practice address
7450 International Blvd
Oakland, CA 94621-2806
Phone
(510) 430-9401
Fax
(510) 255-2316
NPI assigned
Mar 30, 2007
Organization subpart
Yes
Parent organization
THE WEST OAKLAND HEALTH COUNCILAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Robert Phillips
Title
Ceo
Phone
(510) 835-9610

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Federally Qualified Health Center (FQHC) 261QF0400X 140000028 CA Primary

Addresses

Primary practice location

7450 International Blvd
Oakland, CA 94621-2806

Mailing address

700 Adeline St
Oakland, CA 94607-2608
Phone (510) 835-9610

Other names 2

  • Baywell Health Doing business as
  • East Oakland Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110314000217 CA Part A Provider - Federally Qualified Health Center (FQHC) 9537062302 Practice locations: Oakland, CA
O20120420000113 CA Part B Supplier - Clinic/Group Practice 9537062302 Receives reassigned benefits from 49 practitioners
4 other NPIs on this enrollment
Practice locations: Berkeley, CA; Oakland, CA

Federally qualified health center certification: CCN 551956

Legal name
THE WEST OAKLAND HEALTH COUNCIL
Doing business as
EAST OAKLAND HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 25, 2004
Last certification
Feb 25, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 2, 1968 in CA
Enrollment address
7450 International Blvd
Oakland, CA 94621-2806

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
West Oakland HLTH Counc19 organizations share this tax ID, including this one
Part of
West Oakland HLTH Counc

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Loyd Ware Individual Corporate DirectorBoard Vice President May 4, 2017
Angela Robinson Individual W-2 Managing EmployeeCfo Aug 2, 2021
Samson Gerbrekidan Mael Individual W-2 Managing EmployeeCoo Sep 1, 2022
Maribeth Ugalde Individual W-2 Managing EmployeeController Mar 7, 1984
Ingrid Lamirault Individual Corporate DirectorBoard President Apr 27, 2020
Carol Burton Individual Corporate DirectorBoard Treasurer Apr 26, 2020
Michele Antoinette Byrd Individual Corporate DirectorBoard Member Jun 1, 2016
Robert Phillips Individual Corporate OfficerCeo Aug 19, 2022
W-2 Managing EmployeeCeo Aug 19, 2022
Amanda del Carmen Vasquez Individual Corporate DirectorBoard Member Jun 1, 2016
Henry . Davis Individual Corporate DirectorBoard Member Jun 1, 2016
Justus Samuels Individual Corporate DirectorBoard Secretary May 25, 2019

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1285754234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ADELINE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072608",
            "telephone_number": "510-835-9610",
            "fax_number": "510-272-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946212806",
            "telephone_number": "510-430-9401",
            "fax_number": "510-255-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WEST OAKLAND HEALTH COUNCIL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WEST OAKLAND HEALTH COUNCIL",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-835-9610"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "140000028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baywell Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Oakland Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.