Active NPI
ZDK, Inc.
- Community/Behavioral Health Agency
- Oakland, CA
National Provider Identifier
1477752673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 01-20
- Legal business name
- ZDK, INC.
- Practice address
- 1124 International Blvd
Oakland, CA 94606-4331 - Phone
- (510) 533-0800
- Fax
- (510) 533-0300
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joan Ellen Zweben, PH.D
- Title
- President
- Phone
- (510) 526-4442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 01-20 | CA | Primary |
Addresses
Primary practice location
1124 International Blvd
Oakland, CA 94606-4331
Mailing address
1124 International Blvd
Oakland, CA 94606-4331
Phone (510) 533-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR12025F | Other | CA | METHADONE DETOXIFICATION |
Other names 1
- The 14th Street Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184630400000",
"number": "1477752673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946064331",
"telephone_number": "510-533-0800",
"fax_number": "510-533-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946064331",
"telephone_number": "510-533-0800",
"fax_number": "510-533-0300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZDK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"status": "A",
"authorized_official_last_name": "ZWEBEN",
"authorized_official_first_name": "JOAN",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-526-4442",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "01-20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METHADONE DETOXIFICATION",
"identifier": "ZZR12025F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The 14th Street Clinic",
"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 Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.