Organization Active NPI

ZDK, Inc.

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1477752673
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
01-20 Issued in CA
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

Updated by the provider on Jul 17, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZR12025FOtherCAMETHADONE DETOXIFICATION

Other names 1

  • The 14th Street Clinic Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.