MEDICARE: BAY AREA COMMUNITY SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1235068974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY AREA COMMUNITY SERVICES, INC.

Provider Business Mailing Address
First Line	:	390 40TH ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94609-2633
Country	:	US
Telephone Number	:	510-613-0330
Fax Number	:	510-569-4589

Provider Business Practice Location Address
First Line	:	623 16TH ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-1614
Country	:	US
Telephone Number	:	510-613-0330
Fax Number	:	510-569-4589

Authorized Official
Title or Position	:	COMPLIANCE MANAGER
Name	:	HANAN KATZ-LEWIS
Credential	:
Telephone Number	:	415-317-1071

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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