Organization Active NPI

East Bay Innovations

  • Case Management Agency
  • San Leandro, CA
National Provider Identifier
1699002634
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EAST BAY INNOVATIONS
Practice address
303 West Joaquin Ave
Suite 110
San Leandro, CA 94577
Phone
(510) 618-1580
Fax
(510) 618-1570
NPI assigned
Nov 12, 2009
Last updated
Nov 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Mr. Thomas Edward Heinz
Title
Executive Director
Phone
(510) 618-1580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

303 West Joaquin Ave
Suite 110
San Leandro, CA 94577

Mailing address

303 West Joaquin Ave
Suite 110
San Leandro, CA 94577
Phone (510) 618-1580

National Provider Directory

National Provider Directory

Locations

303 W Joaquin Ave
Ste 110
San Leandro, CA 94577
Phone (510) 301-4934

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1699002634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WEST JOAQUIN AVE",
            "address_2": "SUITE 110",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94577",
            "telephone_number": "510-618-1580",
            "fax_number": "510-618-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WEST JOAQUIN AVE",
            "address_2": "SUITE 110",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94577",
            "telephone_number": "510-618-1580",
            "fax_number": "510-618-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY INNOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "HEINZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-618-1580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.