NPIMap

Organization Active NPI

Westcoast Children's Clinic

  • Case Management Agency
  • Oakland, CA
National Provider Identifier
1366870388
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WESTCOAST CHILDREN'S CLINIC
Practice address
3301 E 12TH St
Suite 259
Oakland, CA 94601-3424
Phone
(510) 269-9157
NPI assigned
Oct 30, 2013
Last updated
Oct 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Susan Drager
Title
Tays Program Director
Phone
(510) 269-9157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

3301 E 12TH St
Suite 259
Oakland, CA 94601-3424

Mailing address

3301 E 12TH St
Suite 259
Oakland, CA 94601-3424

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.

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1366870388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E 12TH ST",
            "address_2": "SUITE 259",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946013424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E 12TH ST",
            "address_2": "SUITE 259",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946013424",
            "telephone_number": "510-269-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCOAST CHILDREN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "DRAGER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "TAYS PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "510-269-9157"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "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 30, 2013; 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.