NPIMap

Organization Active NPI

Bay Area Community Services, Inc.

  • Case Management Agency
  • Oakland, CA
National Provider Identifier
1306037981
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
22083 Issued in CA
Legal business name
BAY AREA COMMUNITY SERVICES, INC.
Practice address
629 Oakland Ave
Oakland, CA 94611-4567
Phone
(510) 658-9480
NPI assigned
Aug 7, 2007
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Michael Stanton WardNPI 1063934040
Title
Senior Director of Administration
Phone
(510) 219-7451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 22083 CA Primary

Addresses

Primary practice location

629 Oakland Ave
Oakland, CA 94611-4567

Mailing address

390 40TH St
Oakland, CA 94609-2633
Phone (510) 613-0330

Other practice location 1

1814 Franklin St
Fourth Floor
Oakland, CA 94612-3487
Phone (510) 271-8844

Other practice location 2

559 16th St
Oakland, CA 94612
Phone (510) 613-0330

Other identifiers 1

IdentifierTypeStateIssuer
01EM1MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607001798 CA Part B Supplier - Clinic/Group Practice 5890028781 Receives reassigned benefits from 25 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hayward, CA; Vallejo, CA; Sacramento, CA; Pleasanton, CA; Oakland, CA; Fremont, CA

Other NPIs on the same Medicare enrollment 24

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

View all 24

National Provider Directory

National Provider Directory

Locations

1814 Franklin St
Fl Fourth
Oakland, CA 94612
Phone (510) 271-8844

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1306037981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 40TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092633",
            "telephone_number": "510-613-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 OAKLAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114567",
            "telephone_number": "510-658-9480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Franklin St",
            "address_2": "Fourth Floor",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946123487",
            "country_code": "US",
            "telephone_number": "510-271-8844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "559 16th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "94612",
            "country_code": "US",
            "telephone_number": "510-613-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY AREA COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STANTON",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "510-219-7451"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "22083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01EM1",
            "state": "CA"
        }
    ],
    "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 Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.