CHILDRENS HOSPITAL & RESEARCH CENTER AT OAKLAND (NPI# 1205215563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205215563 |
| Entity Type | Organization |
| Organization Name | CHILDRENS HOSPITAL & RESEARCH CENTER AT OAKLAND |
| Practice Address |
747 52nd St Oakland CA 94609-1809 |
| Mailing Address |
965 Hilldale Ave Berkeley CA 94708-1438 |
| Practice Telephone | 5104283331 |
| Mailing Telephone | 6309479101 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | KATHERINE CASTILLO (RESIDENCY PROGRAM COORDINATOR) |
| Authorized Official Telephone | 5104283331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346530227 | Childrens Hospital & Research Center At Oakland | Clinic/Center | 8711 Macarthur Blvd, Oakland, CA 94605-4000 | 2011-04-13 |
| 1982994869 | Childrens Hospital & Research Center At Oakland | Clinic/Center | 2607 Myrtle St, Oakland, CA 94607-3415 | 2011-04-13 |
| 1588833347 | Childrens Hospital & Research Center At Oakland | Pharmacy | 744 52nd St, Second Floor, Oakland, CA 94609-1810 | 2008-02-26 |
| Street Address |
747 52ND ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200928 | James Philip Riddel Jr. | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2005-07-29 |
| 1235739905 | Maria Elena Alicia Valdivia Fortuna | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-10-30 |
| 1295342707 | Jenny Chen | Dietitian, Registered | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-29 |
| 1104433028 | Phuong T Nguyen-tran | Pharmacist | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-24 |
| 1114538899 | Ji Yun Lee | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-14 |
| 1780295857 | Luis Alonso Perez Jr. | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-12 |
| 1255941803 | Aleesia Renta-ramirez | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-07 |
| 1831709773 | Carroll Taylor Brown IIi | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-05 |
| 1053921064 | Jessica Stankiewicz Lightcap | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-04 |
| 1184242307 | Cecilia Fairley | Genetic Counselor, MS | 747 52nd St, Oakland, CA 94609-1809 | 2020-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962761452 | Newark Beth Israel Medical Center | General Acute Care Hospital | 245 17th St, Apt 305, Oakland, CA 94612-4168 | 2012-05-03 |
| 1255451480 | Children's Hopsital and Research Center At Oakland | General Acute Care Hospital | 770 53rd Street, Oakland, CA 94609-1809 | 2007-03-30 |
| 1699856039 | Marijke Barbara Hallberg | General Acute Care Hospital | 747 52nd Street (ed-ii), Oakland, CA 94609-1809 | 2006-10-18 |
| 1760878003 | Ucsf Benioff Children's Oakland | General Acute Care Hospital | 747 52nd St, Graduate Medical Education Office, Oakland, CA 94609-1809 | 2015-04-14 |
| 1285038372 | Children's Clinic Pharmacy | General Acute Care Hospital | 747 52nd St, Oakland, CA 94609-1809 | 2014-10-17 |
| 1568721041 | Kaiser | General Acute Care Hospital | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2012-05-03 |
| 1780958710 | Children's Hospital & Research Center Oakland | General Acute Care Hospital | 747 52nd St, Oakland, CA 94609-1809 | 2012-03-08 |
| 1255621389 | Children's Hospital & Reasearch Center Oakland | General Acute Care Hospital | 747 52nd Street, Oakland, CA 94609-1809 | 2011-04-11 |
| 1427287945 | Sophia Trimica Hurd | General Acute Care Hospital | 747 52nd St, Oakland, CA 94609-1809 | 2009-07-06 |
| 1699928333 | Kaiser Permanente | General Acute Care Hospital | 3505 Broadway, Oakland, CA 94611-5714 | 2008-10-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.