Oakridge Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

48118772 Issued in CA

Legal business name

OAKRIDGE CARE CENTER

Practice address

2919 Fruitvale Ave
Oakland, CA 94602-2108

Phone

(510) 261-8564

Fax

(510) 261-0408

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alba Tiller

Title

President

Phone

(925) 808-6540

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306958731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 WILLOW WAY",
            "address_2": "SUITE 264",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205723",
            "telephone_number": "925-808-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 FRUITVALE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022108",
            "telephone_number": "510-261-8564",
            "fax_number": "510-261-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "ALBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-808-6540"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "48118772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06280J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oakland Unified School Psychologist
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• Julian Oakley
• Oasis Psychological Therapy Center, PC (Oasis Therapy Center)
• Rosesharon Oates
• Demetrie Oaxton
• OB-GYN Partners for Health Medical Group Inc
• Edward Garrett Obbard, PSY.D.

• Skilled Nursing Facility in Oakland, CA
• Providers in Oakland, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.