Organization Active NPI

Desza Inc.

  • Developmental Disabilities Clinic/Center
  • Hayward, CA
National Provider Identifier
1740450485
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
020000419 Issued in CA
Legal business name
DESZA INC.
Practice address
29255 Ruus Rd
Hayward, CA 94544-6334
Phone
(510) 785-9933
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Ms. Teresita Go
Title
Ceo
Phone
(650) 291-6982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 020000419 CA Primary

Addresses

Primary practice location

29255 Ruus Rd
Hayward, CA 94544-6334

Mailing address

151 Escanyo Dr
South San Francisco, CA 94080-4137

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1740450485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 ESCANYO DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804137",
            "fax_number": "650-837-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29255 RUUS RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945446334",
            "telephone_number": "510-785-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESZA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-291-6982",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "CA",
            "license": "020000419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.