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DREAM YOUTH CLINIC
NPI 1841972635
Family Medicine - Adolescent Medicine in Oakland, CA

Active since August 02, 2023CLIA 05D2307772 · Waiver
583 5TH ST STE A, OAKLAND, CA 94607(510) 457-8767 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dream Youth Clinic NPPES

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

DREAM YOUTH CLINIC (NPI 1841972635) is a healthcare organization registered as an adolescent medicine in Oakland, California and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Aisha R Mays, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1841972635
Entity TypeOrganization
Primary Taxonomy207QA0000X
Legal Business NameDREAM YOUTH CLINIC
Location Address583 5TH ST STE AOakland, CA 94607-3500
Mailing Address583 5th St Ste AOakland, CA 94607-3500 · (510) 457-8767
Phone(510) 457-8767
Organization SubpartNo
Authorized OfficialAisha R MaysChief Operating Officer · (510) 457-8767
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1841972635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0000X
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
583 5TH ST STE A, Oakland, CA 94607
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2307772

Dream Youth Clinic · Oakland, CA
Active · expires Jun 8, 2028
CLIA Number05D2307772
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorAisha R. Mays
Laboratory Phone(510) 839-0929
Laboratory LocationDream Youth Clinic583 5th St Ste A, Oakland, CA 94607
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ROOTS COMMUNITY HEALTH CENTER
Family Medicine
583 5TH ST STE A
OAKLAND, CA 94607
Alameda County (510) 839-0929

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 Dream Youth Clinic's NPI number?

The NPI number for Dream Youth Clinic is 1841972635. It was assigned to this organization in the NPPES registry on August 2, 2023.

Where is Dream Youth Clinic located?

Dream Youth Clinic is located at 583 5th St Ste A, Oakland, CA 94607. The listed phone number is (510) 457-8767.

What is Dream Youth Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

Does Dream Youth Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2307772) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dream Youth Clinic was last updated on August 2, 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.