Active NPI
Opportunities for Change Ofc
- Community Health Worker
- San Jose, CA
National Provider Identifier
1841000684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- OPPORTUNITIES FOR CHANGE OFC
- Practice address
- 2297 Fruitdale Ave
San Jose, CA 95128-3430 - Phone
- (323) 495-8051
- NPI assigned
- Jan 13, 2025
- Last updated
- Jan 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terrell Pina
- Title
- Chief Executive Officer
- Phone
- (323) 495-8051
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Community Health Worker | 172V00000X | NU | Primary | |
| Behavior Technician | 106S00000X | NU | ||
| Peer Specialist | 175T00000X | NU |
Addresses
Primary practice location
2297 Fruitdale Ave
San Jose, CA 95128-3430
Mailing address
4024 Crandall Cir
Santa Clara, CA 95054-4190
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Community Health Worker
- San Jose, CA
- NPI 1134031495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1841000684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4024 CRANDALL CIR",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950544190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2297 FRUITDALE AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283430",
"telephone_number": "323-495-8051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPPORTUNITIES FOR CHANGE OFC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A",
"authorized_official_last_name": "PINA",
"authorized_official_first_name": "TERRELL",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "323-495-8051"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.