NPIMap

Organization Active NPI

Family Bridges Inc

  • Case Manager/Care Coordinator
  • Oakland, CA
National Provider Identifier
1659038875
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
FAMILY BRIDGES INC
Practice address
275 14TH St
Oakland, CA 94612-4070
Phone
(510) 595-5588
NPI assigned
Nov 22, 2021
Organization subpart
Yes
Parent organization
FAMILY BRIDGES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Corinne Jan
Title
Ceo
Phone
(510) 839-2022

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

275 14TH St
Oakland, CA 94612-4070

Mailing address

168 11TH St
Oakland, CA 94607-4841
Phone (510) 839-2022

National Provider Directory

National Provider Directory
Tax ID family
Family Bridges Inc3 organizations share this tax ID, including this one
Part of
Family Bridges Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

275 14th St
Oakland, CA 94612
Phone (510) 419-0888

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1659038875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 11TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074841",
            "telephone_number": "510-839-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 14TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946124070",
            "telephone_number": "510-595-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BRIDGES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY BRIDGES, INC.",
        "enumeration_date": "2021-11-22",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-839-2022"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 14, 2022; 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.