ROOTS COMMUNITY HEALTH CENTER
NPI 1083858823
Clinic/Center - Primary Care in Oakland, CA
About Roots Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROOTS COMMUNITY HEALTH CENTER (NPI 1083858823) is a healthcare organization registered as a primary care in Oakland, California and active in the NPI registry since April 2009. The organization lists Jerusha Norman, Compliance Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roots Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Roots Community Health Center, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 25Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Roots Community Health Center's NPI number?
The NPI number for Roots Community Health Center is 1083858823. It was assigned to this organization in the NPPES registry on April 23, 2009.
Where is Roots Community Health Center located?
Roots Community Health Center is located at 9925 International Blvd #5, Oakland, CA 94603. The listed phone number is (510) 777-1177.
What is Roots Community Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Roots Community Health Center enrolled in Medicare?
Yes. Roots Community Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roots Community Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 8 Medicare specialties reassign their Medicare billing to Roots Community Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (8), Nurse Practitioner (7) and Marriage and Family Therapist (3). Of these, 10 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Roots Community Health Center was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Roots Community Health Center · NPI 1083858823
Primary Care organization in Oakland, California. Organization record, active in the CMS NPPES registry since April 23, 2009.
## Identity
- **NPI:** 1083858823 (Entity type: Organization)
- **Enumerated:** April 23, 2009
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jerusha Norman, COMPLIANCE ADMINISTRATOR
## Practice location
- **Address:** 9925 INTERNATIONAL BLVD, #5, Oakland, CA 94603-2558
- **Phone:** (510) 777-1177
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (8), Nurse Practitioner (7), Marriage and Family Therapist (3); 10 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1083858823/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083858823) · Data from the CMS NPPES public registry.