Healthcare Provider Details
I. General information
NPI: 1053223743
Provider Name (Legal Business Name): TELECARE ALAMEDA STRIDES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
280 17TH ST
OAKLAND CA
94612-4124
US
IV. Provider business mailing address
280 17TH ST
OAKLAND CA
94612-4124
US
V. Phone/Fax
- Phone: 510-238-5020
- Fax: 510-261-3584
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
YUJING
GUO
Title or Position: PMHNP
Credential:
Phone: 510-238-5020