NPIMap

Alameda County

Organization Active NPI Community/Behavioral Health Agency · Hayward, CA

NPI 1669504288 · NPPES record last updated Aug 28, 2024

Key facts

NPI
1669504288
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
ALAMEDA COUNTY
Practice address
409 Jackson St
Hayward, CA 94544-1530
Phone
(800) 878-1313
NPI assigned
Mar 9, 2007
Organization subpart
No

Authorized official

Name
Dr. Karyn L Tribble, PSYD, LCSW
Title
Director
Phone
(510) 561-8100

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 24

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040323001169 CA Part B Supplier - Clinic/Group Practice 9739070624 Receives reassigned benefits from 58 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hayward, CA; San Leandro, CA; Pleasanton, CA; Oakland, CA; Fremont, CA

National Provider Directory

Tax ID family
Fremont Health Center (59 organizations share this tax ID)

Locations

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

Specialties & licenses

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

Addresses

Primary practice location

409 Jackson St
Hayward, CA 94544-1530

Mailing address

PO Box 129
San Leandro, CA 94577-0929

Other identifiers

IdentifierTypeStateIssuer
000008116MedicaidCA

Other names

  • North County Crisis Doing business as

Other providers in Hayward, CA

All providers in Hayward, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.