NPIMap

Organization Active NPI

East Bay Agency for Children

Doing business as Ebac

  • Community/Behavioral Health Agency
  • San Leandro, CA
National Provider Identifier
1649604760
Registry record updated Oct 10, 2019
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
Practice address
1300 Williams St
San Leandro, CA 94577-2401
Phone
(510) 268-3770
NPI assigned
Aug 26, 2013
Last updated
Oct 10, 2019By 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 Oct 10, 2019

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

Authorized official

Name
Catherine Haynes
Title
Client Services Specialist
Phone
(510) 844-5369

Specialties & licenses 1

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

Addresses

Primary practice location

1300 Williams St
San Leandro, CA 94577-2401

Mailing address

303 Van Buren Ave
Oakland, CA 94610-4340
Phone (510) 268-3770

Other names 1

  • EBAC 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

1300 Williams St
San Leandro, CA 94577

1300 Williams St
Rm 20
San Leandro, CA 94577

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1649604760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 VAN BUREN AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104340",
            "telephone_number": "510-268-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WILLIAMS ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772401",
            "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": "2013-08-26",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CLIENT SERVICES SPECIALIST",
        "authorized_official_telephone_number": "510-844-5369"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBAC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EBAC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.