NPIMap

Organization Active NPI

Bay Area Community Resources, Inc

Doing business as gateway Alcohol and Drug Services

  • Substance Abuse Rehabilitation Facility
  • San Pablo, CA
National Provider Identifier
1306082151
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1083886485 Issued in CA
Legal business name
BAY AREA COMMUNITY RESOURCES, INC
Doing business as
gateway Alcohol and Drug Services
Practice address
13201 San Pablo Ave Ste 205
San Pablo, CA 94806-3957
Phone
(510) 235-2887
Fax
(510) 235-2563
NPI assigned
Dec 29, 2008
Last updated
Aug 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Donald Bruce Blasky
Title
Chief Program Officer
Phone
(415) 755-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1083886485 CA Primary

Addresses

Primary practice location

13201 San Pablo Ave Ste 205
San Pablo, CA 94806-3957

Mailing address

13201 San Pablo Ave Ste 205
San Pablo, CA 94806-3957
Phone (510) 235-2887

Other names 1

  • gateway Alcohol and Drug Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Community Resources Inc46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

13201 San Pablo Ave
Ste 205
San Pablo, CA 94806
Phone (510) 235-2887

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1306082151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 SAN PABLO AVE STE 205",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063957",
            "telephone_number": "510-235-2887",
            "fax_number": "510-235-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 SAN PABLO AVE STE 205",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063957",
            "telephone_number": "510-235-2887",
            "fax_number": "510-235-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA COMMUNITY RESOURCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "BLASKY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "415-755-2311"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "1083886485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "gateway Alcohol and Drug Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "gateway Alcohol and Drug Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.