NPIMap

Organization Active NPI

Kidango

  • Community/Behavioral Health Agency
  • Fremont, CA
National Provider Identifier
1679864185
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
30172 Issued in CA
Legal business name
KIDANGO
Practice address
44000 Old Warm Springs Blvd
Fremont, CA 94538-6145
Phone
(510) 897-6900
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Miss Lilian Patricia Zelaya, MSW
Title
Mental Health Clinician
Phone
(707) 921-9232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 30172 CA Primary

Addresses

Primary practice location

44000 Old Warm Springs Blvd
Fremont, CA 94538-6145

Mailing address

44000 Old Warm Springs Blvd
Fremont, CA 94538-6145

Other identifiers 1

IdentifierTypeStateIssuer
30172OtherCABOARD OF BEHAVIORAL SCIENCES

National Provider Directory

National Provider Directory
Tax ID family
Kidango4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1679864185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44000 OLD WARM SPRINGS BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44000 OLD WARM SPRINGS BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386145",
            "telephone_number": "510-897-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDANGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "ZELAYA",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "707-921-9232",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "30172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "30172",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.