NPIMap

Organization Active NPI

Bay Area Community Services Inc

  • Community/Behavioral Health Agency
  • Vallejo, CA
National Provider Identifier
1659770873
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1539 Issued in CA
Legal business name
BAY AREA COMMUNITY SERVICES INC
Practice address
236 Georgia St
Suite 101
Vallejo, CA 94590-5991
Phone
(510) 613-0330
NPI assigned
Aug 14, 2014
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Ms. Samantha Marie Fryer
Title
Sr. Director, Quality Improvement
Phone
(510) 318-6135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1539 CA Primary

Addresses

Primary practice location

236 Georgia St
Suite 101
Vallejo, CA 94590-5991

Mailing address

1814 Franklin St FL 4
Oakland, CA 94612-3487
Phone (510) 613-0330

Other identifiers 2

IdentifierTypeStateIssuer
81951MedicaidCA
01L2MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Community Services45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1659770873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 FRANKLIN ST FL 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123487",
            "telephone_number": "510-613-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 GEORGIA ST",
            "address_2": "SUITE 101",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905991",
            "telephone_number": "510-613-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "FRYER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SR. DIRECTOR, QUALITY IMPROVEMENT",
        "authorized_official_telephone_number": "510-318-6135",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81951",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01L2",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.