Provider Demographics
NPI:1306036546
Name:ROMAN CATHOLIC BISHOP OF OAKLAND, A CORPORATION SOLE
Entity Type:Organization
Organization Name:ROMAN CATHOLIC BISHOP OF OAKLAND, A CORPORATION SOLE
Other - Org Name:ST. JOSEPH'S CENTER FOR THE DEAF AND HARD OF HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ARDITH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:510-881-2245
Mailing Address - Street 1:25580 CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94542-1137
Mailing Address - Country:US
Mailing Address - Phone:510-881-2245
Mailing Address - Fax:510-881-2248
Practice Address - Street 1:25580 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94542-1137
Practice Address - Country:US
Practice Address - Phone:510-881-2245
Practice Address - Fax:510-881-2248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA01AZOtherMEDI-CAL