NPIMap

Organization Active NPI

Roots Community Health Center

  • Primary Care Clinic/Center
  • Oakland, CA
National Provider Identifier
1851785307
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
550002196 Issued in CA
Legal business name
ROOTS COMMUNITY HEALTH CENTER
Practice address
2700 International Blvd Ste 11
Oakland, CA 94601-1520
Phone
(510) 533-1248
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Dr. Noha Aboelata, MDNPI 1447246293
Title
Ceo
Phone
(510) 830-5035

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 550002196 CA Primary

Addresses

Primary practice location

2700 International Blvd Ste 11
Oakland, CA 94601-1520

Mailing address

2700 International Blvd Ste 11
Oakland, CA 94601-1520
Phone (510) 533-1248

National Provider Directory

National Provider Directory
Tax ID family
Roots Community Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

2700 International Blvd
Ste 11
Oakland, CA 94601
Phone (510) 533-1248

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1851785307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 INTERNATIONAL BLVD STE 11",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011520",
            "telephone_number": "510-533-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 INTERNATIONAL BLVD STE 11",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011520",
            "telephone_number": "510-533-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "ABOELATA",
        "authorized_official_first_name": "NOHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-830-5035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "550002196",
            "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 Mar 23, 2015; 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.