Organization Active NPI

Bay Area Diabetes Prevention Program

Doing business as Best Life Coaching Concepts

  • Prevention Professional
  • Oakland, CA
National Provider Identifier
1457841520
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
BAY AREA DIABETES PREVENTION PROGRAM
Doing business as
Best Life Coaching Concepts
Practice address
2323 Broadway
Oakland, CA 94612-2414
Phone
(415) 580-0090
NPI assigned
May 15, 2018
Last updated
May 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Benita JacquesNPI 1932535150
Title
Certified Lifestyle Coach
Phone
(415) 580-0090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193400000X SINGLE SPECIALTY GROUP 405300000X CA Primary

Addresses

Primary practice location

2323 Broadway
Oakland, CA 94612-2414

Mailing address

2323 Broadway
Oakland, CA 94612-2414
Phone (415) 580-0090

Other names 1

  • Best Life Coaching Concepts Doing business as

National Provider Directory

National Provider Directory

Locations

2323 Broadway
Oakland, CA 94612
Phone (510) 457-1064

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": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1457841520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122414",
            "telephone_number": "415-580-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122414",
            "telephone_number": "415-580-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA DIABETES PREVENTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "BENITA",
        "authorized_official_title_or_position": "CERTIFIED LIFESTYLE COACH",
        "authorized_official_telephone_number": "415-580-0090"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best Life Coaching Concepts",
            "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 May 15, 2018; 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.