NPIMap

Organization Active NPI

Building Opportunities for Self-Sufficiency

  • Community/Behavioral Health Agency
  • Hayward, CA
National Provider Identifier
1407067846
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY
Practice address
258 W a St
Hayward, CA 94541-4850
Phone
(510) 732-5956
Fax
(510) 732-5954
NPI assigned
May 25, 2007
Last updated
Jan 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Donald Ivy Frazier
Title
Executive Director
Phone
(510) 649-1935

Specialties & licenses 1

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

Addresses

Primary practice location

258 W a St
Hayward, CA 94541-4850

Mailing address

1918 University Ave Ste 2a
Berkeley, CA 94704-3263
Phone (510) 649-1930

Other identifiers 1

IdentifierTypeStateIssuer
8134OtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • BOSS Shelter Network MAA Other name

National Provider Directory

National Provider Directory

Locations

258 W A St
Hayward, CA 94541
Phone (510) 690-8192

Practitioners & affiliated clinicians

Practitioners 10

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1407067846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 UNIVERSITY AVE STE 2A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947043263",
            "telephone_number": "510-649-1930",
            "fax_number": "510-649-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 W A ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414850",
            "telephone_number": "510-732-5956",
            "fax_number": "510-732-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "IVY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-649-1935"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "8134",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOSS Shelter Network MAA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BOSS Shelter Network MAA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 2, 2019; 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.