1245393503 NPI number — YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE EAST BAY

Table of content: (NPI 1245393503)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245393503 NPI number — YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE EAST BAY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE EAST BAY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245393503
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/15/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2330 BROADWAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAKLAND
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94612-2415
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-451-9622
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3260 BLUME DR
Provider Second Line Business Practice Location Address:
SUITE 450
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94806-5203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-262-6551
Provider Business Practice Location Address Fax Number:
510-222-7085
Provider Enumeration Date:
12/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LAU
Authorized Official First Name:
DON
Authorized Official Middle Name:
Authorized Official Title or Position:
INTERIM PRESIDENT AND CEO
Authorized Official Telephone Number:
510-318-7654

Provider Taxonomy Codes

  • Taxonomy code: 174H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251V00000X , with the licence number: MFC27191 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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