NPIMap

Organization Active NPI

Seneca Family of Agencies

Doing business as Shoreline

  • Community/Behavioral Health Agency
  • Hayward, CA
National Provider Identifier
1396037461
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SENECA FAMILY OF AGENCIES
Doing business as
Shoreline
Practice address
27211 Tyrrell Ave
Hayward, CA 94544-4509
Phone
(510) 317-1444
NPI assigned
May 9, 2011
Last updated
Apr 5, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SENECA FAMILY OF AGENCIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Katherine West
Title
Chief Operations Officer
Phone
(510) 520-0935

Specialties & licenses 1

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

Addresses

Primary practice location

27211 Tyrrell Ave
Hayward, CA 94544-4509

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 654-4004

Other identifiers 1

IdentifierTypeStateIssuer
0015MedicaidCA

Other names 1

  • Shoreline Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110713000017 CA Part B Supplier - Clinic/Group Practice 7416145594 Receives reassigned benefits from 4 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Oakland, CA; Redlands, CA; Richmond, CA; Salinas, CA; San Francisco, CA; San Jose, CA; San Leandro, CA; San Rafael, CA…

National Provider Directory

National Provider Directory
Tax ID family
Seneca Family of Agencies149 organizations share this tax ID, including this one
Part of
Seneca Family of Agencies

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

27211 Tyrrell Ave
Hayward, CA 94544
Phone (510) 670-7610

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1396037461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 ARLINGTON DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781132",
            "telephone_number": "510-654-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27211 TYRRELL AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945444509",
            "telephone_number": "510-317-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA FAMILY OF AGENCIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENECA FAMILY OF AGENCIES",
        "enumeration_date": "2011-05-09",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "510-520-0935"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.