Memory Daybyday

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

408641 Issued in CA

Legal business name

MEMORY DAYBYDAY

Practice address

111 Jackson St
Hayward, CA 94544-1948

Phone

(510) 876-5880

Fax

(510) 876-5885

NPI assigned

Jun 19, 2016

Organization subpart

No

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

Authorized official

Name

Patricia Bruketta, NP

Title

President

Phone

(510) 876-5880

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1466294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1336599570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JACKSON ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441948",
            "telephone_number": "510-876-5880",
            "fax_number": "510-876-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JACKSON ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441948",
            "telephone_number": "510-876-5880",
            "fax_number": "510-876-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY DAYBYDAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-19",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "BRUKETTA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-876-5880",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "408641",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "408641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaishnavi Melkote
• Marhawit Melles
• Leslie Nirel Melo
• Gary Melvin Jr.
• Simone Melvin
• Janet Mena
• Noemi Mendez-Arriola
• Ernesto Mendez-Gonzalez
• Andrea Natalie Mendez
• Ashley Yajaira Mendez

• Early Intervention Provider Agency in Hayward, CA
• Providers in Hayward, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.