NPIMap

Organization Active NPI

Bay Area Community Resources, Inc.

  • Community/Behavioral Health Agency
  • San Pablo, CA
National Provider Identifier
1457740615
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1164613170 Issued in CA
Legal business name
BAY AREA COMMUNITY RESOURCES, INC.
Practice address
13201 San Pablo Ave
Ste 301
San Pablo, CA 94806-3952
Phone
(415) 447-0367
NPI assigned
Jan 12, 2015
Last updated
Aug 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Donald Bruce Blasky
Title
Chief Program Officer
Phone
(415) 755-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1164613170 CA Primary

Addresses

Primary practice location

13201 San Pablo Ave
Ste 301
San Pablo, CA 94806-3952

Mailing address

171 Carlos Dr
San Rafael, CA 94903-2005
Phone (415) 444-5580

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Community Resources Inc46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Locations

13201 San Pablo Ave
Ste 301
San Pablo, CA 94806
Phone (415) 447-0367

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1457740615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CARLOS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032005",
            "telephone_number": "415-444-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 SAN PABLO AVE",
            "address_2": "STE 301",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063952",
            "telephone_number": "415-447-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA COMMUNITY RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "BLASKY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "415-755-2311"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1164613170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.