THE WEST OAKLAND HEALTH COUNCIL NPI 1043331630

NPI Information

NPI: 1043331630
Provider Name: THE WEST OAKLAND HEALTH COUNCIL

Doing Business As: JAMES A WATSON WELLNESS CENTER

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
5709 MARKET ST
OAKLAND, CA
ZIP 94608
Phone: (510) 444-9460
Get Directions

THE WEST OAKLAND HEALTH COUNCIL is a psychiatric/mental health nurse practitioner in Oakland, CA. THE WEST OAKLAND HEALTH COUNCIL NPI is 1043331630. The provider is registered as an organization entity type.
The provider Is Doing Business As James A Watson Wellness Center.

The provider's business location address is:

5709 MARKET ST
OAKLAND, CA
ZIP 94608-811
Phone: (510) 444-9460

The provider's authorized official is Robert Phillips .
The authorized official title is Ceo and has the following contact phone number (510) 614-6829.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 12/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010171000	MEDICAID	CALIFORNIA
2	1306967021	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »