NPIMap

Organization Active NPI

The West Oakland Health Council

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oakland, CA
National Provider Identifier
1508987652
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
THE WEST OAKLAND HEALTH COUNCIL
Practice address
7501 International Blvd
Oakland, CA 94621
Phone
(510) 729-8800
NPI assigned
Apr 3, 2007
Organization subpart
Yes
Parent organization
THE WEST OAKLAND HEALTH COUNCILAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Authorized official

Name
Mr. Benjamin F. Pettus
Title
Ceo
Phone
(510) 835-9610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

7501 International Blvd
Oakland, CA 94621

Mailing address

700 Adeline St
Oakland, CA 94607-2608
Phone (510) 835-9610

Other identifiers 1

IdentifierTypeStateIssuer
010172000MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
West Oakland HLTH Counc19 organizations share this tax ID, including this one
Part of
West Oakland HLTH Counc

Other organizations with this tax ID 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 9

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1508987652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ADELINE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072608",
            "telephone_number": "510-835-9610",
            "fax_number": "510-272-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94621",
            "telephone_number": "510-729-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WEST OAKLAND HEALTH COUNCIL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WEST OAKLAND HEALTH COUNCIL",
        "enumeration_date": "2007-04-03",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "PETTUS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-835-9610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010172000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 17, 2017; 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.