FREDDY GRANDE
NPI 1316704612
Peer Specialist in Oakland, CA

Active since March 04, 2024
390 40TH ST, OAKLAND, CA 94609(510) 613-0330 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Freddy Grande NPPES

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

FREDDY GRANDE (NPI 1316704612) is an individual peer specialist in Oakland, California and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1316704612
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameFREDDY GRANDE
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 613-0330
Sole ProprietorNo
Enumeration DateMarch 4, 2024
NPPES CertifiedMarch 3, 2024
NPI 1316704612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

390 40TH ST, Oakland, CA 94609

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Counselor (Mental Health)
390 40TH ST
OAKLAND, CA 94609
Registered Nurse
390 40TH ST
OAKLAND, CA 94609
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
390 40TH ST
OAKLAND, CA 94609
Counselor (Mental Health)
390 40TH ST
OAKLAND, CA 94609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316704612, enumerated as an "individual" on March 04, 2024.

The provider is located at 390 40TH ST OAKLAND, CA 94609 and the phone number is (510) 613-0330.

Peer Specialist with taxonomy code 175T00000X.