Active NPI
Elizabeth Brighina
- Social Worker
- Oakland, CA
National Provider Identifier
1720790272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 116622
- Practice address
- 6955 Foothill Blvd
Oakland, CA 94605-2455 - Phone
- (510) 567-5700
- NPI assigned
- Dec 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 116622 | CA | Primary |
Addresses
Primary practice location
6955 Foothill Blvd
Oakland, CA 94605-2455
Mailing address
14489 Corvallis St
San Leandro, CA 94579-1122
Phone (510) 909-6047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116622 | Other | CA | ASW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116622 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1720790272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14489 CORVALLIS ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945791122",
"telephone_number": "510-909-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6955 FOOTHILL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052455",
"telephone_number": "510-567-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHINA",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-15",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "116622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASW",
"identifier": "116622",
"state": "CA"
}
],
"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 Feb 27, 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.