Active NPI
Dream Youth Clinic
- Adolescent Medicine (Family Medicine) Physician
- Oakland, CA
National Provider Identifier
1841972635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- Legal business name
- DREAM YOUTH CLINIC
- Practice address
- 583 5TH St Ste a
Oakland, CA 94607-3500 - Phone
- (510) 457-8767
- NPI assigned
- Aug 2, 2023
- 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
- Dr. Aisha R Mays, MD
- Title
- Chief Operating Officer
- Phone
- (510) 457-8767
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | Primary |
Addresses
Primary practice location
583 5TH St Ste a
Oakland, CA 94607-3500
Mailing address
583 5TH St Ste a
Oakland, CA 94607-3500
Phone (510) 457-8767
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.
-
- Family Medicine Physician
- Oakland, CA
- NPI 1306950498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690934400000",
"number": "1841972635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "583 5TH ST STE A",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946073500",
"telephone_number": "510-457-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "583 5TH ST STE A",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946073500",
"telephone_number": "510-457-8767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM YOUTH CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A",
"authorized_official_last_name": "MAYS",
"authorized_official_first_name": "AISHA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "510-457-8767",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.