Organization Active NPI

Trinity Oakland, Inc

  • Skilled Nursing Facility
  • Oakland, CA
National Provider Identifier
1306932322
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
020000045 Issued in CA
Legal business name
TRINITY OAKLAND, INC
Doing business as
High Street Nursing Center llc
Practice address
3145 High St
Oakland, CA 94619-1839
Phone
(510) 533-9970
Fax
(510) 533-5488
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Randal Kleis
Title
President
Phone
(425) 820-9750

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 020000045 CA Primary
Nursing Facility Supplies (DME) 332BN1400X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

3145 High St
Oakland, CA 94619-1839

Mailing address

3145 High St
Oakland, CA 94619-1839
Phone (510) 533-9970

Other identifiers 1

IdentifierTypeStateIssuer
LTC55499HMedicaidCA

Other names 1

  • High Street Nursing Center llc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1306932322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 HIGH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191839",
            "telephone_number": "510-533-9970",
            "fax_number": "510-533-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 HIGH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191839",
            "telephone_number": "510-533-9970",
            "fax_number": "510-533-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY OAKLAND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "KLEIS",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-820-9750"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "020000045",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55499H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Street Nursing Center llc",
            "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 Jul 18, 2008; 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.