NPIMap

Organization Active NPI

Youthalive

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1700132164
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTHALIVE
Practice address
3300 Elm St
Oakland, CA 94609-3012
Phone
(510) 594-2588
Fax
(510) 594-0667
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Ms. Anne Marks, MPP
Title
Executive Director
Phone
(510) 594-2588

Specialties & licenses 1

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

Addresses

Primary practice location

3300 Elm St
Oakland, CA 94609-3012

Mailing address

3300 Elm St
Oakland, CA 94609-3012
Phone (510) 594-2588

National Provider Directory

National Provider Directory

Locations

3300 Elm St
Oakland, CA 94609
Phone (510) 594-2588

Practitioners & affiliated clinicians

Practitioners 5

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": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1700132164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ELM ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093012",
            "telephone_number": "510-594-2588",
            "fax_number": "510-594-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 ELM ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093012",
            "telephone_number": "510-594-2588",
            "fax_number": "510-594-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHALIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-594-2588",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 2, 2012; 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.