Healthcare Provider Details

I. General information

NPI: 1700711314
Provider Name (Legal Business Name): BAY AREA COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 TECH CENTER DR STE 100
SACRAMENTO CA
95826-2585
US

IV. Provider business mailing address

390 40TH ST
OAKLAND CA
94609-2633
US

V. Phone/Fax

Practice location:
  • Phone: 916-379-7964
  • Fax:
Mailing address:
  • Phone: 510-613-0330
  • Fax: 510-569-4589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: HANAN KATZ-LEWIS
Title or Position: COMPLIANCE MANAGER
Credential:
Phone: 415-317-1071