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CASSANDRA BROADWAY
NPI 1124724463
Point of Service in Oakland, CA

Active since February 07, 2023
2280 SAN PABLO AVE, OAKLAND, CA 94612(510) 807-4390 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cassandra Broadway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSANDRA BROADWAY (NPI 1124724463) is an individual point of service provider in Oakland, California and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1124724463
Entity TypeIndividualFemale
Primary Taxonomy305S00000X
Provider Legal NameCASSANDRA BROADWAY
Location Address2280 SAN PABLO AVEOakland, CA 94612-1321
Mailing Address1204 E 15th StOakland, CA 94606-3806 · (510) 807-4390
Phone(510) 807-4390
Sole ProprietorYes
Enumeration DateFebruary 7, 2023
NPPES CertifiedFebruary 6, 2023
✔ NPI 1124724463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
2280 SAN PABLO AVE, Oakland, CA 94612
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TRACY LAMAR LAMBERT MHRS
Counselor (Mental Health)
2280 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 899-4200
BOSS
Community Based Residential Treatment Facility, Mental Illness
2280 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 899-4200
MR. ANDREW MITCHELL LOPAS
Counselor (Addiction (Substance Use Disorder))
2280 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 899-4202
KAKI WILLIAMS MARSHALL B.S.
Case Manager/Care Coordinator
2280 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (415) 250-8798
EUNICE FEATHERS
Counselor (Mental Health)
2280 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 899-4200
BUILDING OPPORTUNITIES FOR SELF SUFFICIENCY
Community/Behavioral Health
2280 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 899-4200
STEVEN HUA
Social Worker
2280 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 350-3974
MS. ALICE LAVELLE MFT
Marriage & Family Therapist
2280 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 899-4200

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 Cassandra Broadway's NPI number?

The NPI number for Cassandra Broadway is 1124724463. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Cassandra Broadway located?

Cassandra Broadway practices at 2280 San Pablo Ave, Oakland, CA 94612. The listed phone number is (510) 807-4390.

What is Cassandra Broadway's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Cassandra Broadway was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.