Organization Active NPI

East Bay Agency for Children

  • Community/Behavioral Health Agency
  • Alameda, CA
National Provider Identifier
1942787635
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EAST BAY AGENCY FOR CHILDREN
Practice address
210 Central Ave
Alameda, CA 94501-3246
Phone
(510) 268-3770
NPI assigned
Jul 25, 2018
Organization subpart
Yes
Parent organization
EAST BAY AGENCY FOR CHILDRENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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) 844-5368

Specialties & licenses 1

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

Addresses

Primary practice location

210 Central Ave
Alameda, CA 94501-3246

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
251S00000XMedicaidCA

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 12

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

Locations

210 Central Ave
Rm 404
Alameda, CA 94501

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1942787635",
    "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": "210 CENTRAL AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013246",
            "telephone_number": "510-268-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY AGENCY FOR CHILDREN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST BAY AGENCY FOR CHILDREN",
        "enumeration_date": "2018-07-25",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "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": "510-844-5368"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251S00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.