Island Sisters Care Foundation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ISLAND SISTERS CARE FOUNDATION

Practice address

828 San Pablo Ave Ste 115G
Albany, CA 94706-1693

Phone

(510) 322-7737

NPI assigned

Apr 21, 2025

Last updated

Apr 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maryan Waqa

Title

Executive Director

Phone

(510) 322-7737

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1780471185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 POMONA AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 SAN PABLO AVE STE 115G",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061693",
            "telephone_number": "510-322-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SISTERS CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "WAQA",
        "authorized_official_first_name": "MARYAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-322-7737"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Husby-Gerry, DC
• Otis Perry Max Ingersoll, FNP
• Innate Chiropractic
• Daniel Peixoto Irby, MD
• Meredith Isaksen, AMFT 151125
• Shadan Jabali, DMD
• Sheila Jacobs, MFT
• Andrea Javorkova Adams
• Karl Jeffries, MD
• Jennifer Basurto, MSW, LCSW

• Health Service Clinic/Center in Albany, CA
• Providers in Albany, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.