Healthcare Provider Details
I. General information
NPI: 1386075000
Provider Name (Legal Business Name): BAY AREA COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2013
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
629 OAKLAND AVE
OAKLAND CA
94611-4567
US
IV. Provider business mailing address
390 40TH ST
OAKLAND CA
94609-2633
US
V. Phone/Fax
- Phone: 510-613-0330
- Fax:
- Phone: 510-613-0330
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | 01L21 |
| License Number State | CA |
VIII. Authorized Official
Name: MS.
JAMIE
ALMANZA
Title or Position: EXECUTIVE DIRECTOR
Credential: MBA
Phone: 510-613-0330