NPIMap

Organization Active NPI

Roots Community Health Center

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1952942575
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROOTS COMMUNITY HEALTH CENTER
Practice address
583 5TH St Ste a
Oakland, CA 94607
Phone
(510) 839-0929
Fax
(510) 788-6837
NPI assigned
Oct 4, 2019
Organization subpart
Yes
Parent organization
ROOTS COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Noha M Aboelata, MDNPI 1447246293
Title
Ceo
Phone
(510) 777-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

583 5TH St Ste a
Oakland, CA 94607

Mailing address

9925 International Blvd #5
Oakland, CA 94603-2558
Phone (510) 777-1177

National Provider Directory

National Provider Directory
Tax ID family
Roots Community Health6 organizations share this tax ID, including this one
Part of
Roots Community Health

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

583 5th St
Ste A
Oakland, CA 94607
Phone (510) 457-8767

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1952942575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 INTERNATIONAL BLVD #5",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946032558",
            "telephone_number": "510-777-1177",
            "fax_number": "510-550-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 5TH ST STE A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94607",
            "telephone_number": "510-839-0929",
            "fax_number": "510-788-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROOTS COMMUNITY HEALTH CENTER",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "ABOELATA",
        "authorized_official_first_name": "NOHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-777-1177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Oct 4, 2019; 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.