Individual provider Active NPI

Oscar Trejo Baide, MSW

  • Social Worker
  • Oakland, CA
National Provider Identifier
1871725390
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
26529 Issued in CA
Practice address
111 Myrtle St Ste 102
Oakland, CA 94607-2535
Phone
(510) 839-3800
Fax
(510) 839-3888
NPI assigned
Aug 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26529 CA Primary

Addresses

Primary practice location

111 Myrtle St Ste 102
Oakland, CA 94607-2535

Mailing address

409 38TH St
Oakland, CA 94609-2765
Phone (510) 601-7506

Other names 1

  • Oscar Baide Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26529CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1871725390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 38TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092765",
            "telephone_number": "510-601-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MYRTLE ST STE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072535",
            "telephone_number": "510-839-3800",
            "fax_number": "510-839-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO BAIDE",
        "first_name": "OSCAR",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "26529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OSCAR",
            "last_name": "BAIDE",
            "credential": "ASW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 28, 2010; 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.