| NPI |
1598363467 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
| Entity Type Code |
1 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
| Provider Last Name Legal Name |
BOWER |
The last name of the provider. If the provider is an individual, this is the legal name. |
| Provider First Name |
DANIELLE |
The last name of the provider. If the provider is an individual, this is the legal name. |
| Provider Credential Text |
MSW-PPSC |
The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS. |
| Provider First Line Business Practice Location Address |
746 GRAND AVE |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
| Provider Business Practice Location Address City Name |
OAKLAND |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
| Provider Business Practice Location Address State Name |
CA |
The State code in the location of the provider
being identified. |
| Provider Business Practice Location Address Postal Code |
946102714 |
The State code in the location of the provider
being identified. |
| Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
| Provider Business Practice Location Address Telephone Number |
5102731600 |
The country code in the location address of the provider being identified. |
| Provider Enumeration Date |
10/13/2020 |
The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date |
8/1/2023 |
The date the provider was assigned a unique identifier (assigned an NPI). |
| Provider Gender Code |
F |
The code designating the provider’s gender if the provider is a person. |
| Healthcare Provider Taxonomy Code 1 |
1041S0200X |
The code designating the provider’s gender if the provider is a person. |
| Healthcare Provider Primary Taxonomy Switch 1 |
N |
|
| Healthcare Provider Taxonomy Code 2 |
104100000X |
|
| Healthcare Provider Primary Taxonomy Switch 2 |
Y |
|
| Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
| NPI Certification Date |
8/1/2023 |
|