WEST OAKLAND MTU NPI 1053460261

NPI Information

NPI: 1053460261
Provider Name: WEST OAKLAND MTU
Classification: Physical Therapist - 2251P0200X
Specialization: Pediatrics
Entity Type: Organization
Doing Business As: ALAMEDA COUNTY CCS
Address: 1240 18TH ST
RALPH BUNCH SCHOOL, RM CCS1
OAKLAND, CA
ZIP 94607
Phone: (510) 879-2261

Map and Directions

Get Directions

NPI Details

WEST OAKLAND MTU is a pediatrics physical therapist in Oakland, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. WEST OAKLAND MTU NPI is 1053460261. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alameda County Ccs.

The provider's business location address is:

1240 18TH ST
RALPH BUNCH SCHOOL, RM CCS1
OAKLAND, CA
ZIP 94607-223
Phone: (510) 879-2261
Fax: (510) 879-1672

The provider's authorized official is Susan L Johnson .
The authorized official title is Chief Therapist and has the following contact phone number (510) 267-3278.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251P0200X	Physical Therapist	Pediatrics			Yes
2	225XP0200X	Occupational Therapist	Pediatrics			X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CCS00101F	OTHER	CALIFORNIA	CCS PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI