Active NPI
Family Bridges Inc
- Adult Day Care Clinic/Center
- Oakland, CA
National Provider Identifier
1679787360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- FAMILY BRIDGES INC
- Practice address
- 1388 Harrison Street
Oakland, CA 94612 - Phone
- (510) 302-0460
- Fax
- (510) 302-0466
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christine Susan Jan, RD
- Title
- Chief Executive Officer
- Phone
- (510) 839-2270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1388 Harrison Street
Oakland, CA 94612
Mailing address
168 11TH Street
Oakland, CA 94607
Phone (510) 839-2022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ADU70205F | Other | CA | ADHC |
National Provider Directory
National Provider Directory- Tax ID family
- Family Bridges Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Oakland, CA
- NPI 1033324447
-
- Case Manager/Care Coordinator
- Oakland, CA
- NPI 1659038875
Locations
1388 Harrison St
Oakland, CA 94612
Phone (510) 302-0460
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Oakland, CA
- NPI 1841525284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679787360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 11TH STREET",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94607",
"telephone_number": "510-839-2022",
"fax_number": "510-839-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1388 HARRISON STREET",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94612",
"telephone_number": "510-302-0460",
"fax_number": "510-302-0466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY BRIDGES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JAN",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "SUSAN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "510-839-2270",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADHC",
"identifier": "ADU70205F",
"state": "CA"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.