NPIMap

Organization Active NPI

Crescent Psychiatric Services

  • Psychiatry Physician
  • Union City, CA
National Provider Identifier
1811155328
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C52859 Issued in CA
Legal business name
CRESCENT PSYCHIATRIC SERVICES
Practice address
32667 Kenita Way
Union City, CA 94587-3001
Phone
(510) 487-1560
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Yasin Mansoor, M.D.
Title
President
Phone
(510) 487-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X C52859 CA Primary

Addresses

Primary practice location

32667 Kenita Way
Union City, CA 94587-3001

Mailing address

32667 Kenita Way
Union City, CA 94587-3001
Phone (510) 487-1560

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1811155328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32667 KENITA WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873001",
            "telephone_number": "510-487-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32667 KENITA WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873001",
            "telephone_number": "510-487-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "MANSOOR",
        "authorized_official_first_name": "YASIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-487-1560",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C52859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

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