Organization Active NPI

Bobino Brand LLC

  • Psychologist
  • Castro Valley, CA
National Provider Identifier
1467947648
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3492 Issued in CA
Legal business name
BOBINO BRAND LLC
Practice address
20200 Redwood Rd Ste 8
Castro Valley, CA 94546-4353
Phone
(510) 833-1620
Fax
(510) 619-7285
NPI assigned
Jun 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Javarte Bobino, LEPNPI 1609905553
Title
Manager
Phone
(510) 593-5886

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 3492 CA Primary

Addresses

Primary practice location

20200 Redwood Rd Ste 8
Castro Valley, CA 94546-4353

Mailing address

1254 107TH Ave
Oakland, CA 94603-3822
Phone (510) 593-5886

Other practice location 1

166 Santa Clara Ave # 304
Oakland, CA 94610-1323
Phone (510) 833-1620

National Provider Directory

National Provider Directory

Locations

20200 Redwood Rd
Ste 8
Castro Valley, CA 94546
Phone (510) 792-5588

166 Santa Clara Ave
#304
Oakland, CA 94610
Phone (510) 833-1620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1467947648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 107TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946033822",
            "telephone_number": "510-593-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20200 REDWOOD RD STE 8",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464353",
            "telephone_number": "510-833-1620",
            "fax_number": "510-619-7285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Santa Clara Ave # 304",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946101323",
            "country_code": "US",
            "telephone_number": "510-833-1620",
            "fax_number": "510-619-7285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOBINO BRAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "BOBINO",
        "authorized_official_first_name": "JAVARTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "510-593-5886",
        "authorized_official_credential": "LEP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "3492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.