NPIMap

Organization Active NPI

East Bay Agency for Children

Doing business as Ebac

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1902231368
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EAST BAY AGENCY FOR CHILDREN
Doing business as
Ebac
Practice address
9860 Sunnyside St
Oakland, CA 94603-2750
Phone
(510) 918-8424
NPI assigned
Sep 4, 2013
Reactivated
Jan 25, 2024
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST BAY AGENCY FOR CHILDRENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Jeannette Rodriguez
Title
Quality Improvement & Data Manager
Phone
(510) 268-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9860 Sunnyside St
Oakland, CA 94603-2750

Mailing address

2828 Ford St
Oakland, CA 94601-2114
Phone (510) 268-3770

Other names 1

  • EBAC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ebac-Claremont Middle School61 organizations share this tax ID, including this one
Part of
Ebac-Claremont Middle School

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

9860 Sunnyside St
Oakland, CA 94603
Phone (510) 904-6300

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1902231368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 FORD ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012114",
            "telephone_number": "510-268-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9860 SUNNYSIDE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946032750",
            "telephone_number": "510-918-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY AGENCY FOR CHILDREN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST BAY AGENCY FOR CHILDREN",
        "enumeration_date": "2013-09-04",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "deactivation_date": "2019-10-07",
        "reactivation_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "QUALITY IMPROVEMENT & DATA MANAGER",
        "authorized_official_telephone_number": "510-268-3770"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBAC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EBAC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 17, 2024; 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.