NPIMap

Organization Active NPI

Westcoast Children'S Clinic

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1366645293
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
020000193 Issued in CA
Legal business name
WESTCOAST CHILDREN'S CLINIC
Practice address
3301 E. 12TH Street Ste 259
Oakland, CA 94601-2940
Phone
(510) 269-9030
Fax
(510) 269-9031
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Mrs. Amelia Newton Grosu, LCSW
Title
Director of Qa and Compliance
Phone
(510) 269-9148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 020000193 CA Primary

Addresses

Primary practice location

3301 E. 12TH Street Ste 259
Oakland, CA 94601-2940

Mailing address

PO Box 7026
Oakland, CA 94601-0026
Phone (510) 269-9030

Other identifiers 1

IdentifierTypeStateIssuer
01DWOtherCAMEDI-CAL PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Westcoast Children'S Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

22225 Foothill Blvd
Hayward, CA 94541
Phone (510) 265-8200

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1366645293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7026",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946010026",
            "telephone_number": "510-269-9030",
            "fax_number": "510-269-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E. 12TH STREET STE 259",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012940",
            "telephone_number": "510-269-9030",
            "fax_number": "510-269-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCOAST CHILDREN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "GROSU",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "DIRECTOR OF QA AND COMPLIANCE",
        "authorized_official_telephone_number": "510-269-9148",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "020000193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "01DW",
            "state": "CA"
        }
    ],
    "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 Dec 19, 2024; 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.