Rotacare Richmond Free Medical Clinic at Brighter Beginnings

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

G11694 Issued in CA

Legal business name

ROTACARE RICHMOND FREE MEDICAL CLINIC AT BRIGHTER BEGINNINGS

Practice address

2727 Macdonald Ave
Richmond, CA 94804-3006

Phone

(510) 903-7516

Fax

(510) 213-6680

NPI assigned

May 30, 2013

Organization subpart

Yes

Parent organization

ROTACARE BAY AREA, INC.As reported in NPPES

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

Authorized official

Name

Dr. Pate Thomson, M.D.

Title

Medical Co-Director

Phone

(510) 903-7516

Specialties & licenses 1

Addresses

Other names 1

• RotaCare Bay Area, Inc. Other name

Part of

Rotacare Richmond Free Medical Clinic at Brighter Beginnings

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14789/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1770920886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948043006",
            "telephone_number": "510-903-7516",
            "fax_number": "510-213-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948043006",
            "telephone_number": "510-903-7516",
            "fax_number": "510-213-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTACARE RICHMOND FREE MEDICAL CLINIC AT BRIGHTER BEGINNINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROTACARE BAY AREA, INC.",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "PATE",
        "authorized_official_title_or_position": "MEDICAL CO-DIRECTOR",
        "authorized_official_telephone_number": "510-903-7516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "G11694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RotaCare Bay Area, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ana Maria Rosales Diaz
• Jasmin Rosales
• Sonny Rose, R.N., MFT INTERN
• Julia Rosholt, M.A.
• Trudy Ann Ross
• Aliyah Roy
• Ana Ruano-Dowdell
• Richard Arnold Rubenstein, MD
• Rubicon Programs
• Rubicon Programs Inc.

• Voluntary or Charitable Agency in Richmond, CA
• Providers in Richmond, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.