NPIMap

Organization Active NPI

East Bay Community Recovery Project

  • Substance Abuse Rehabilitation Facility
  • Oakland, CA
National Provider Identifier
1346441763
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
EAST BAY COMMUNITY RECOVERY PROJECT
Practice address
2545 San Pablo Ave
Oakland, CA 94612-1121
Phone
(510) 446-7160
Fax
(510) 446-7188
NPI assigned
May 31, 2007
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Ms. Marta Rose
Title
Associate Executive Director
Phone
(510) 446-7111

Specialties & licenses 2

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

Addresses

Primary practice location

2545 San Pablo Ave
Oakland, CA 94612-1121

Mailing address

2579 San Pablo Ave
Oakland, CA 94612-1159
Phone (510) 446-7100

National Provider Directory

National Provider Directory
Tax ID family
East Bay Community Recovery Project7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2545 San Pablo Ave
Oakland, CA 94612
Phone (510) 446-7150

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1346441763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 SAN PABLO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121159",
            "telephone_number": "510-446-7100",
            "fax_number": "510-446-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 SAN PABLO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121121",
            "telephone_number": "510-446-7160",
            "fax_number": "510-446-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY COMMUNITY RECOVERY PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-446-7111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 19, 2015; 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.