Davis Street Community Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DAVIS STREET COMMUNITY CENTER

Practice address

3081 Teagarden St
San Leandro, CA 94577-5720

Phone

(510) 347-4620

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Xenia Alexis Burgara

Title

Behavioral Health Intake Coordinate

Phone

(510) 347-4620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1407220288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 TEAGARDEN ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775720",
            "telephone_number": "510-347-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 TEAGARDEN ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775720",
            "telephone_number": "510-347-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS STREET COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "BURGARA",
        "authorized_official_first_name": "XENIA",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH INTAKE COORDINATE",
        "authorized_official_telephone_number": "510-347-4620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Davidson
• Patrick Alan Davies
• Sara Rachel Davies
• Chelsi Daviner
• Davis Street Community Center
• Davis Street Family Resource Center
• Joleigh Davis-McBryan
• Shavone Davis-Pickett, CNA/PCT
• Alexandra Elizabeth Davis
• Branisha Davis

• Community/Behavioral Health Agency in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.