Individual provider Active NPI

Larry Williams, CAS

  • Case Manager/Care Coordinator
  • Hayward, CA
National Provider Identifier
1639556152
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
C13781214 Issued in CA
Practice address
795 Fletcher LN
Hayward, CA 94544-1008
Phone
(510) 247-8300
Fax
(510) 247-8295
NPI assigned
May 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X C13781214 CA Primary

Addresses

Primary practice location

795 Fletcher LN
Hayward, CA 94544-1008

Mailing address

5331 Virtue Arc Dr
Stockton, CA 95207-6033
Phone (510) 247-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C13781214CAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Successful Alternatives for Addiction & Counseling Services, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1639556152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 VIRTUE ARC DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076033",
            "telephone_number": "510-247-8300",
            "fax_number": "510-247-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 FLETCHER LN",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441008",
            "telephone_number": "510-247-8300",
            "fax_number": "510-247-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "CAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "C13781214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.