Agesong Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

AGESONG INC

Practice address

3121 Fruitvale Ave
Oakland, CA 94602-2112

Phone

(209) 403-3748

NPI assigned

Aug 18, 2015

Organization subpart

Yes

Parent organization

AGESONG INCAs reported in NPPES

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

Authorized official

Name

Ms. Diana J Chang, MFT TRAINEE

Title

MFT Intern

Phone

(209) 403-3748

Specialties & licenses 1

Addresses

Part of

Agesong Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Agesong, Inc

  • Assisted Living Facility (Mental Illness)
  • San Francisco, CA
  • NPI 1356548135
  NPPES parent name

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1366818031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 FRUITVALE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022112",
            "telephone_number": "209-403-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 FRUITVALE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022112",
            "telephone_number": "209-403-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGESONG INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGESONG INC",
        "enumeration_date": "2015-08-18",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MFT INTERN",
        "authorized_official_telephone_number": "209-403-3748",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT TRAINEE"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Ifesinachi Agashi
• Michelle Emigh Agazzi, DDS MSD
• Kalu Emeaba Agbaeze I
• Omonivie Hope Agboghidi, MD
• Josephine Agbowo, M.D.
• Solomon A. Ageze
• Ritika Aggarwal, LMFT
• Atefeh Aghaei, PHD
• Mania Kavyanpour Aghdasi
• Haig Agigian, L.C.S.W.

• Assisted Living Facility (Mental Illness) in Oakland, CA
• Providers in Oakland, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.