Organization Active NPI

HR Support

  • Public Health or Welfare Agency
  • Castro Valley, CA
National Provider Identifier
1396365003
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
HR SUPPORT
Practice address
18261 Madison Ave
Castro Valley, CA 94546-1633
Phone
(510) 363-0051
NPI assigned
Apr 22, 2020
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Rattanapphorn Saefung
Title
Ceo
Phone
(510) 363-0051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

18261 Madison Ave
Castro Valley, CA 94546-1633

Mailing address

6143 Mount Diablo CT
Castro Valley, CA 94552-1948

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210513000712 IL Part B Supplier - Mass Immunization (Roster Biller Only) 3375952849 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

6959 W Forest Preserve Ave
Chicago, IL 60634
Phone (510) 314-2525

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1396365003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 MOUNT DIABLO CT",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945521948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18261 MADISON AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945461633",
            "telephone_number": "510-363-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HR SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "SAEFUNG",
        "authorized_official_first_name": "RATTANAPPHORN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-363-0051"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.