Roots Community Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROOTS COMMUNITY HEALTH CENTER

Practice address

200 Harrison St
Oakland, CA 94607

Phone

(510) 397-1010

Fax

(510) 788-6837

NPI assigned

Oct 22, 2019

Last updated

Oct 22, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

ROOTS COMMUNITY HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Noha M Aboelata, MDNPI 1447246293

Title

Ceo

Phone

(510) 777-1177

Specialties & licenses 1

Addresses

Tax ID family

Roots Community Health6 organizations share this tax ID, including this one

Part of

Roots Community Health

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Roots Community Health Center

  • Primary Care Clinic/Center
  • San Jose, CA
  • NPI 1083145122
  NPD tax ID
• Roots Community Health Center

  • Primary Care Clinic/Center
  • Oakland, CA
  • NPI 1083858823
  NPD tax ID
• Roots Community Health Center

  • Primary Care Clinic/Center
  • Oakland, CA
  • NPI 1851785307
  NPD tax ID
• Roots Community Health Center

  • Primary Care Clinic/Center
  • Oakland, CA
  • NPI 1932663853
  NPD tax ID
• Roots Community Health Center

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1952942575
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noha Mandouh Aboelata, MD

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1447246293
  NPD (past) Authorized official

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1811530991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 INTERNATIONAL BLVD #5",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946032558",
            "telephone_number": "510-777-1177",
            "fax_number": "510-550-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94607",
            "telephone_number": "510-397-1010",
            "fax_number": "510-788-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROOTS COMMUNITY HEALTH CENTER",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "ABOELATA",
        "authorized_official_first_name": "NOHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-777-1177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Roosa, PH.D.
• Roosevelt School-Based Behavioral Health
• Root & Stem Integrative Chinese Medicine
• Roots Community Health Center
• Roots Community Health Center
• Roots Community Health Center
• Roots Community Health Center
• Roots Community Health Center
• Hollie Rachell Roper, LMFT
• Andrea Del Milagro Roque

• Family Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.