East Bay Health Care Support Services, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

EAST BAY HEALTH CARE SUPPORT SERVICES, INC.

Practice address

5129 Lone Tree Way
Antioch, CA 94531-8484

Phone

(925) 331-0995

Fax

(925) 226-0812

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

Jerry Santelises

Title

President

Phone

(925) 331-0995

Specialties & licenses 1

Addresses

Practitioners 1

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

• Phylene Ririe

  • Nursing Facility/Intermediate Care Facility
  • Brentwood, CA
  • NPI 1497536791
  NPD

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1871379412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318484",
            "telephone_number": "925-331-0995",
            "fax_number": "925-226-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318484",
            "telephone_number": "925-331-0995",
            "fax_number": "925-226-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY HEALTH CARE SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "SANTELISES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-331-0995"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandaizha Necole Dunn
• Kenneth Reid Dupree, D. M. D.
• Nyccol Dupree
• Alyssa Durjava
• Ernest Chimeziem Durunna Jr.
• East Bay Medical Oncology-Hematology Associates
• East Bay Medical Oncology-Hematology Associates, Inc.
• East Bay Medical Oncology/Hematology Associates, Inc.
• East Bay Mens Recovery Center
• East Bay Physical Therapy, Inc.

• Non-emergency Medical Transport (VAN) in Antioch, CA
• Providers in Antioch, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.