Healthcare Provider Details

I. General information

NPI: 1013846997
Provider Name (Legal Business Name): PINNACLE ESSENTIAL LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2618 63RD AVE
OAKLAND CA
94605-1415
US

IV. Provider business mailing address

1250A FAIRMONT DR # 755
SAN LEANDRO CA
94578-3508
US

V. Phone/Fax

Practice location:
  • Phone: 341-238-2263
  • Fax:
Mailing address:
  • Phone: 341-238-2263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JACARRA T KENDRICK
Title or Position: DIRECTOR
Credential:
Phone: 341-238-2263