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NPI 1336599570ActiveOrganization· Early Intervention Provider Agency· Hayward, CA
Early Intervention Provider Agency in Hayward, California, registered in NPPES in June 2016. The authorized official on file is Patricia Bruketta, NP, President.
Overview
| NPI | 1336599570 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2016 |
| Last updated in NPPES | Sep 16, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Early Intervention Provider Agency Primary | 252Y00000X | 408641 | CA |
| Community/Behavioral Health | 251S00000X | 408641 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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