Organization Active NPI

Bibett

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1295925550
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
010006DN Issued in CA
Legal business name
BIBETT
Practice address
7200 Bancroft Ave
Suite 176
Oakland, CA 94605-2403
Phone
(510) 568-2432
NPI assigned
Aug 1, 2007
Organization subpart
Yes
Parent organization
BIBETTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Susan Cinelli
Title
Cheif Executive Officer
Phone
(925) 798-7250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 01AD CA
Community/Behavioral Health Agency 251S00000X 010006DN CA Primary

Addresses

Primary practice location

7200 Bancroft Ave
Suite 176
Oakland, CA 94605-2403

Mailing address

3018 Willow Pass Rd Ste 102
Concord, CA 94519-2543
Phone (925) 798-7250

Other identifiers 1

IdentifierTypeStateIssuer
01ADOtherCADRUG MEDI-CAL

Other names 1

  • EAST OAKLAND RECOVERY CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Frederic Ozanam Center -Emerald City31 organizations share this tax ID, including this one
Part of
Frederic Ozanam Center -Emerald City

Other organizations with this tax ID 30

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

View all 30

Locations

7200 Bancroft Ave
Ste 176
Oakland, CA 94605
Phone (510) 568-2432

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1295925550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 WILLOW PASS RD STE 102",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192543",
            "telephone_number": "925-798-7250",
            "fax_number": "925-798-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE",
            "address_2": "SUITE 176",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052403",
            "telephone_number": "510-568-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIBETT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIBETT",
        "enumeration_date": "2007-08-01",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "CINELLI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "925-798-7250"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "01AD",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "010006DN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDI-CAL",
            "identifier": "01AD",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST OAKLAND RECOVERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 15, 2011; 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.