Healthcare Provider Details

I. General information

NPI: 1215828652
Provider Name (Legal Business Name): ALAMEDA POINT COLLABORATIVE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 MONARCH ST BUILDING 2, WING 8
ALAMEDA CA
94501
US

IV. Provider business mailing address

2550 MONARCH ST BUILDING 2, WING 8
ALAMEDA CA
94501
US

V. Phone/Fax

Practice location:
  • Phone: 510-898-7800
  • Fax:
Mailing address:
  • Phone: 510-898-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELISHA HERUTY
Title or Position: SR. MANAGER OF QA AND DATA
Credential: MA
Phone: 510-898-7830