BROOKSIDE COMMUNITY HEALTH CENTER, INC
NPI 1336321413
Clinic/Center - Community Health in San Pablo, CA

NPI Status: Active since November 30, 2007

Contact Information

2023 VALE RD
SUITE 107
SAN PABLO, CA
ZIP 94806
Phone: (510) 231-9810

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  • Organization
  • Clinic/Center
  • Community Health

About BROOKSIDE COMMUNITY HEALTH CENTER, INC

This page provides the complete NPI Profile along with additional information for Brookside Community Health Center, Inc, a primary care provider established in San Pablo, California operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1336321413 assigned on November 2007. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Lucinda Brannon Bazile (Executive Director)

NPI
1336321413
Provider Name
BROOKSIDE COMMUNITY HEALTH CENTER, INC
Entity Type
Organization
Location Address
2023 VALE RD SUITE 107 SAN PABLO, CA 94806
Location Phone
(510) 231-9810
Mailing Address
2023 VALE RD SUITE 107 SAN PABLO, CA 94806
Mailing Phone
(510) 231-9810
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2007
Last Update Date
02-06-2012
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A primary care provider (PCP) like Brookside Community Health Center, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LUCINDA BRANNON BAZILE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(510) 231-9810

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
STATE IDENT NUMBEROTHER (01)CAEAPC70699F

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336321413
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236662242
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 6 + 2 + 2 + 4 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1336321413 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447221809 LORNA A COGEN M.D.
Individual
Surgery2023 VALE RD SUITE 8
SAN PABLO, CA 94806
(510) 215-9930
1487696191LIFELONG MEDICAL CARE
Organization
Clinic/Center (Community Health)2023 VALE RD STE 107
SAN PABLO, CA 94806
(510) 215-9092
1043237597DR. MANOJ SUMANLAL DESAI M.D.
Individual
Specialist2023 VALE RD SUITE # 1
SAN PABLO, CA 94806
(510) 237-3785
1942397906MR. VICTOR YIP NG PHARM D
Individual
Pharmacist2023 VALE RD SUITE 101
SAN PABLO, CA 94806
(510) 232-2377
1700967361MR. RONALD H BERMAN M.D.
Individual
Internal Medicine2023 VALE RD SUITE 110
SAN PABLO, CA 94806
(510) 235-1723
1831261270IMHOTEP ISSAQUENA MEDICAL GROUP, INC.
Organization
Clinic/Center (Primary Care)2023 VALE RD SUITE 211
SAN PABLO, CA 94806
(510) 231-0955
1679648406DR. GERARD MENUT M.D.
Individual
Surgery2023 VALE RD SUITE 214
SAN PABLO, CA 94806
(510) 234-3744
1770767543DR. ANNA KATARINA NORDENSJO M.D.
Individual
Family Medicine2023 VALE RD #107
SAN PABLO, CA 94806
(510) 215-9092
1801060637BROOKSIDE COMMUNITY HEALTH CENTER
Organization
Clinic/Center (Primary Care)2023 VALE RD SUITE 107
SAN PABLO, CA 94806
(510) 215-9092
1235381385 MOLLY ANNE MEKJAVICH CNM
Individual
Midwife2023 VALE RD
SAN PABLO, CA 94806
(510) 215-9092
1558689406 KATHLEEN MCKENNA CNM
Individual
Midwife2023 VALE RD
SAN PABLO, CA 94806
(510) 215-9092
1396089397MR. GABRIEL R AGUILAR PA-C
Individual
Physician Assistant2023 VALE RD #107
SAN PABLO, CA 94806
(510) 215-9092
1356694715 TENZIN YOUDON LCSW
Individual
Social Worker (Clinical)2023 VALE RD
SAN PABLO, CA 94806
(510) 215-9092
1548351117 SARAH ROMANOW BRIAND CNM
Individual
Advanced Practice Midwife2023 VALE RD
SAN PABLO, CA 94806
(510) 231-9819
1992236483 REHIMAT MOMOH MENDY NP
Individual
Nurse Practitioner (Pediatrics)2023 VALE RD
SAN PABLO, CA 94806
(510) 215-9092
1801306667 ASHLEY RO
Individual
Nurse Practitioner (Family)2023 VALE RD
SAN PABLO, CA 94806
(510) 981-4100
1376741983 OTIS EUGENE ROUNDS MD
Individual
Hospitalist2023 VALE RD SUITE 211
SAN PABLO, CA 94806
(510) 231-0955
1518477108DR. WENDY ZUN-YED WU DDS
Individual
Dentist (General Practice)2023 VALE RD
SAN PABLO, CA 94806
(510) 231-9814
1447509187 ABBY MITCHELL OUJI LCSW
Individual
Social Worker (Clinical)2023 VALE RD
SAN PABLO, CA 94806
(510) 215-9092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336321413, enumerated in the NPI registry as an "organization" on November 30, 2007

The provider is located at 2023 Vale Rd Suite 107 San Pablo, Ca 94806 and the phone number is (510) 231-9810

This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 30, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.