NPIMap

Organization Active NPI

Native American Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
National Provider Identifier
1689863516
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
140000155 Issued in CA
Legal business name
NATIVE AMERICAN HEALTH CENTER INC
Practice address
2950 International Blvd
Room 101
Oakland, CA 94601-2228
Phone
(510) 485-5948
Fax
(510) 485-5949
NPI assigned
Oct 16, 2007
Organization subpart
Yes
Parent organization
NATIVE AMERICAN HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Adrian A Marcus-Flores
Title
Credentialing & Licensing Associate
Phone
(510) 485-5906

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Clinic/Center 261Q00000X 140000155 CA
Federally Qualified Health Center (FQHC) 261QF0400X 140000155 CA Primary

Addresses

Primary practice location

2950 International Blvd
Room 101
Oakland, CA 94601-2228

Mailing address

2920 International Blvd
Room 101
Oakland, CA 94601-2228
Phone (510) 485-5948

Other identifiers 3

IdentifierTypeStateIssuer
1689863516MedicaidCA
FHC11743FMedicaidCA
HAP11743FOtherCASOFP

Other names 1

  • Urban Indian Health Board Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Native American Health8 organizations share this tax ID, including this one
Part of
Native American Health

Other organizations with this tax ID 7

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

Locations

2920 International Blvd
Rm 101
Oakland, CA 94601

2950 International Blvd
Rm 101
Oakland, CA 94601
Phone (510) 485-5948

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1689863516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 INTERNATIONAL BLVD",
            "address_2": "ROOM 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012228",
            "telephone_number": "510-485-5948",
            "fax_number": "510-485-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 INTERNATIONAL BLVD",
            "address_2": "ROOM 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012228",
            "telephone_number": "510-485-5948",
            "fax_number": "510-485-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE AMERICAN HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIVE AMERICAN HEALTH CENTER",
        "enumeration_date": "2007-10-16",
        "last_updated": "2022-03-30",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "MARCUS-FLORES",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING & LICENSING ASSOCIATE",
        "authorized_official_telephone_number": "510-485-5906"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "140000155",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "140000155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689863516",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC11743F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOFP",
            "identifier": "HAP11743F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urban Indian Health Board",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Urban Indian Health Board",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 30, 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.