Organization Active NPI

Our Roots

  • Community Health Worker
  • Oakland, CA
National Provider Identifier
1710706924
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
OUR ROOTS
Practice address
4047 Harding Way
Oakland, CA 94602-1919
Phone
(510) 946-0283
NPI assigned
Oct 4, 2024
Last updated
Oct 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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

Authorized official

Name
Priya Iyer
Title
Founder & Ceo
Phone
(510) 946-0283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

4047 Harding Way
Oakland, CA 94602-1919

Mailing address

1311 Park St # 1020
Alameda, CA 94501-4507
Phone (510) 946-0283

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729382400000",
    "number": "1710706924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 PARK ST # 1020",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014507",
            "telephone_number": "510-946-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 HARDING WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021919",
            "telephone_number": "510-946-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR ROOTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "510-946-0283"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "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 Oct 20, 2024; 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.