Individual provider Active NPI

Bibek Timalsina

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1891200622
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
554 Grand Ave
Oakland, CA 94610-3515
Phone
(510) 698-2604
NPI assigned
Dec 1, 2017
Reactivated
Aug 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

554 Grand Ave
Oakland, CA 94610-3515

Mailing address

554 Grand Ave
Oakland, CA 94610-3515
Phone (510) 444-1671

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Empowering Refugees and Immigrants CurrentSince Dec 17, 2023 Accepting new patients
Center for Empowering Refugees & Immigrants CurrentSince Jul 21, 2024 Accepting new patients

Locations

554 Grand Ave
Oakland, CA 94610
Phone (510) 444-1671

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1891200622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103515",
            "telephone_number": "510-444-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103515",
            "telephone_number": "510-698-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMALSINA",
        "first_name": "BIBEK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-01",
        "last_updated": "2023-12-12",
        "certification_date": "2023-05-31",
        "deactivation_date": "2021-02-22",
        "reactivation_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "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 Dec 12, 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.