Man to Man - Urban Youth Advocate Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MAN TO MAN - URBAN YOUTH ADVOCATE INC

Practice address

7200 Bancroft Ave Ste 266
Oakland, CA 94605-2465

Phone

(408) 750-4334

NPI assigned

Sep 11, 2024

Organization subpart

No

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

Authorized official

Name

Stewart PerrilliatNPI 1316767221

Title

Ceo

Phone

(408) 750-4334

Specialties & licenses 7

Addresses

Locations

Practitioners 1

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

• Stewart Bernard Perrilliat II, DMIN

  • Religious Nonmedical Practitioner
  • Santa Rosa, CA
  • NPI 1316767221
  NPD Authorized official

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1295561850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 SHALLOWS PL W",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095502",
            "telephone_number": "408-750-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 266",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052465",
            "telephone_number": "408-750-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN TO MAN - URBAN YOUTH ADVOCATE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "PERRILLIAT",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-750-4334"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abyan Mama-Farah, MD
• Shakira Mamalompong, BCAT
• Arnold G. Mammarella
• Christine Mammini, MFT
• Sarah Mamoon
• Christine Manalang
• Ivy Deane Gonzales Manalo
• Manandhar DDS Inc.
• Katrina Mananquil, PT
• Johnal Miguel Manasan, RN

• Voluntary or Charitable Agency in Oakland, CA
• Providers in Oakland, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.