Active NPI
Kingdom Builders Transitional Housing Program
- Substance Abuse Rehabilitation Facility
- Oakland, CA
National Provider Identifier
1558178665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- KINGDOM BUILDERS TRANSITIONAL HOUSING PROGRAM
- Practice address
- 2321 International Blvd
Oakland, CA 94601-1018 - Phone
- (510) 326-2446
- NPI assigned
- Dec 12, 2024
- 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. Ernest L Jackson, DMIN
- Title
- Director
- Phone
- (415) 860-6767
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Internal Medicine Physician | 207R00000X | |||
| Case Management Agency | 251B00000X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Adult Care Home Facility | 311ZA0620X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
2321 International Blvd
Oakland, CA 94601-1018
Mailing address
2321 International Blvd
Oakland, CA 94601-1018
Phone (510) 326-2446
Other names 1
- Kingdom Builders Transitional Housing
National Provider Directory
National Provider DirectoryLocations
2321 International Blvd
Oakland, CA 94601
Phone (510) 326-2446
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neuromusculoskeletal Medicine & OMM Physician
- San Francisco, CA
- NPI 1063479665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747353600000",
"number": "1558178665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946011018",
"telephone_number": "510-326-2446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946011018",
"telephone_number": "510-326-2446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGDOM BUILDERS TRANSITIONAL HOUSING PROGRAM",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-12",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "415-860-6767",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMIN"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kingdom Builders Transitional Housing",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Kingdom Builders Transitional Housing",
"code": "5",
"type": "Other Name"
}
]
}
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 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.