Individual provider Active NPI

Ruben Garibaldo, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1720499452
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
81635 Issued in CA
Practice address
3798 Grand Ave Ste 2
Oakland, CA 94610
Phone
(510) 730-2478
NPI assigned
May 15, 2014
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 81635 CA Primary

Addresses

Primary practice location

3798 Grand Ave Ste 2
Oakland, CA 94610

Mailing address

3798 Grand Ave Ste 2
Oakland, CA 94610-1527
Phone (510) 730-2478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180312001872 CA Practitioner - Clinical Social Worker 2264794163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The West Oakland Health CouncilGroup PAC ID 9537062302, 27 clinicians

Practice addresses (Care Compare)

700 Adeline St
Oakland, CA 94607-2608
Phone 51083596102006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81635CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The West Oakland Health Council CurrentSince Mar 21, 2020 Accepting new patients
The West Oakland Health Council Current Accepting new patients
The West Oakland Health Council CurrentSince Mar 21, 2020 Accepting new patients
City of Berkeley Past Accepting new patients

Locations

10615 International Blvd
Oakland, CA 94603
Phone (510) 568-9230

700 Adeline St
Oakland, CA 94607
Phone (510) 835-9610

7450 International Blvd
Oakland, CA 94621
Phone (510) 430-9401

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1720499452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3798 GRAND AVE STE 2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101527",
            "telephone_number": "510-730-2478",
            "fax_number": "510-373-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 GRAND AVE STE 2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94610",
            "telephone_number": "510-730-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIBALDO",
        "first_name": "RUBEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.