Westcoast Children's Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WESTCOAST CHILDREN'S CLINIC

Practice address

3301 E 12TH St Ste 259
Oakland, CA 94601-2940

Phone

(510) 269-9030

Fax

(510) 269-9031

NPI assigned

Dec 19, 2006

Last updated

Aug 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

April Desiree Fernando, PHD

Title

Clinical Director

Phone

(510) 269-9098

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1558424374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E 12TH ST STE 259",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012940",
            "telephone_number": "510-269-9030",
            "fax_number": "510-269-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E 12TH ST STE 259",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012940",
            "telephone_number": "510-269-9030",
            "fax_number": "510-269-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCOAST CHILDREN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "DESIREE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "510-269-9098",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "81931",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Westbrook
• Victoria Westbrook, AMFT, SUDCC
• Westcoast Children's Clinic
• Westcoast Children's Clinic
• Westcoast Children's Clinic
• Westcoast Childrens Clinic
• Western Dental Services, Inc.
• Western Dental Services, Inc.
• Western Drug Inc (MDR Oakland Pharmacy)
• Amy Michelle Westfall, MS

• Community/Behavioral Health Agency in Oakland, CA
• Providers in Oakland, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.