Organization Active NPI

Bay Area Consortium for Quality Health Care, Inc.

  • Primary Care Clinic/Center
  • Oakland, CA
National Provider Identifier
1992838437
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
140000170 Issued in CA
Legal business name
BAY AREA CONSORTIUM FOR QUALITY HEALTH CARE, INC.
Practice address
10850 Macarthur Blvd
Oakland, CA 94605-5266
Phone
(510) 843-6194
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Dr. Gwen Rowe-Lee Sykes, DRPH, MSW, MPH
Title
Executive Director
Phone
(510) 444-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 140000170 CA Primary

Addresses

Primary practice location

10850 Macarthur Blvd
Oakland, CA 94605-5266

Mailing address

405 14TH St
Suite 300
Oakland, CA 94612-2715
Phone (510) 444-4300

Other identifiers 1

IdentifierTypeStateIssuer
AYD000300OtherCAMEDI-CAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

10850 MacArthur Blvd
Oakland, CA 94605
Phone (510) 569-9334

405 14th St
Ste 300
Oakland, CA 94612

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1992838437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 14TH ST",
            "address_2": "SUITE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122715",
            "telephone_number": "510-444-4300",
            "fax_number": "510-444-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055266",
            "telephone_number": "510-843-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA CONSORTIUM FOR QUALITY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "ROWE-LEE SYKES",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-444-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRPH, MSW, MPH"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "140000170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "AYD000300",
            "state": "CA"
        }
    ],
    "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 Apr 27, 2015; 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.