Active NPI
Bibett
- Community/Behavioral Health Agency
- Oakland, CA
National Provider Identifier
1396941241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CADDTP1484
- Legal business name
- BIBETT
- Practice address
- 10700 Macarthur Blvd
12
Oakland, CA 94605-5298 - Phone
- (510) 568-2432
- Fax
- (510) 568-3912
- NPI assigned
- Jun 26, 2007
- Organization subpart
- Yes
- Parent organization
- BIBETT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Cinelli
- Title
- Executive Director
- Phone
- (925) 798-7250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CADDTP1484 | CA | Primary |
Addresses
Primary practice location
10700 Macarthur Blvd
12
Oakland, CA 94605-5298
Mailing address
10700 Macarthur Blvd
12
Oakland, CA 94605-5298
Phone (510) 568-2432
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01AD | Other | CA | DRUG AND ALCOHOL |
| 01AD | Medicaid | CA |
Other names 1
- EAST OAKLAND RECOVERY CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Frederic Ozanam Center -Emerald City
- Part of
- Frederic Ozanam Center -Emerald City
Other organizations with this tax ID 30
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1740486109
-
- Community/Behavioral Health Agency
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-
- Substance Abuse Rehabilitation Facility
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-
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- NPI 1023213386
-
- Children's Substance Abuse Rehabilitation Facility
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- NPI 1053850602
-
- Substance Abuse Rehabilitation Facility
- Concord, CA
- NPI 1083152912
-
- Case Management Agency
- Concord, CA
- NPI 1093907388
-
- Substance Abuse Rehabilitation Facility
- Vallejo, CA
- NPI 1114127388
-
- Clinic/Center
- Pittsburg, CA
- NPI 1144566449
-
- Substance Abuse Rehabilitation Facility
- Concord, CA
- NPI 1154526333
-
- Children's Substance Abuse Rehabilitation Facility
- Pittsburg, CA
- NPI 1225577877
-
- Community/Behavioral Health Agency
- Clayton, CA
- NPI 1235334673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185494400000",
"number": "1396941241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 MACARTHUR BLVD",
"address_2": "12",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946055298",
"telephone_number": "510-568-2432",
"fax_number": "510-568-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 MACARTHUR BLVD",
"address_2": "12",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946055298",
"telephone_number": "510-568-2432",
"fax_number": "510-568-3912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIBETT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BIBETT",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-27",
"status": "A",
"authorized_official_last_name": "CINELLI",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "925-798-7250"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "CADDTP1484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRUG AND ALCOHOL",
"identifier": "01AD",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01AD",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EAST OAKLAND RECOVERY CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.