NPIMap

Organization Active NPI

Children's Hospital & Research Center at Oakland

  • Adolescent and Children Mental Health Clinic/Center
  • Oakland, CA
National Provider Identifier
1295934990
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
Practice address
312 Clay St Ste 150
Oakland, CA 94607-3510
Phone
(510) 428-3408
NPI assigned
Jul 12, 2007
Last updated
May 12, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLANDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Mr. Ted Wang, CPA
Title
Chief Financial Officer
Phone
(510) 428-3027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

312 Clay St Ste 150
Oakland, CA 94607-3510

Mailing address

747 52ND Street
Oakland, CA 94609-1809
Phone (510) 428-3407

National Provider Directory

National Provider Directory
Tax ID family
Children's Hospital and Research Center-Oakland22 organizations share this tax ID, including this one
Part of
Children's Hospital and Research Center-Oakland

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1295934990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CLAY ST STE 150",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073510",
            "telephone_number": "510-428-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND",
        "enumeration_date": "2007-07-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "510-428-3027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental 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 May 12, 2021; 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.