NPIMap

Organization Active NPI

East Bay Agency for Children

Doing business as EBAC-Hoover Elementary School

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1588090120
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EAST BAY AGENCY FOR CHILDREN
Doing business as
EBAC-Hoover Elementary School
Practice address
890 Brockhurst St
Oakland, CA 94608-4318
Phone
(510) 268-3770
NPI assigned
Sep 14, 2013
Last updated
Aug 18, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST BAY AGENCY FOR CHILDRENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Jeannette Rodriguez
Title
Cqi Administrative Coordinator
Phone
(510) 844-5368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

890 Brockhurst St
Oakland, CA 94608-4318

Mailing address

2828 Ford St
Oakland, CA 94601-2114
Phone (510) 268-3770

Other names 1

  • EBAC-Hoover Elementary School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Bay Activity Ctr61 organizations share this tax ID, including this one
Part of
East Bay Activity Ctr

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

890 Brockhurst St
Oakland, CA 94608
Phone (510) 597-4926

NPI Registry JSON

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1588090120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 FORD ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012114",
            "telephone_number": "510-268-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 BROCKHURST ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946084318",
            "telephone_number": "510-268-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY AGENCY FOR CHILDREN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST BAY AGENCY FOR CHILDREN",
        "enumeration_date": "2013-09-14",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "CQI ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "510-844-5368"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBAC-Hoover Elementary School",
            "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 Aug 18, 2021; 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.