ALTA BATES SUMMIT MEDICAL CENTER (NPI# 1336529106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336529106 |
| Entity Type | Organization |
| Organization Name | ALTA BATES SUMMIT MEDICAL CENTER |
| Practice Address |
2001 Dwight Way Berkeley CA 94704-2608 |
| Practice Telephone | 5102043056 |
| Practice Fax Number | 5102042171 |
| Mailing Telephone | 5102043056 |
| Mailing Fax Number | 5102042171 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Authorized Official Name | REBECCA HASKINS (GENETIC COUNSELOR) |
| Authorized Official Telephone | 5102043056 |
| Authorized Official Credential | MS, LCGC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QG0250X |
Clinic/Center Specialization: Genetics |
GC000376 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649720954 | Alta Bates Summit Medical Center | General Acute Care Hospital | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2016-10-11 |
| 1780813485 | Alta Bates Summit Medical Center | Pharmacy | 3100 Summit St, Oakland, CA 94609-3412 | 2009-07-02 |
| 1457489502 | Alta Bates Summit Medical Center | Psychiatric Hospital | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2007-03-01 |
| 1922140771 | Alta Bates Summit Medical Center | General Acute Care Hospital | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2007-02-12 |
| 1720128556 | Alta Bates Summit Medical Center | General Acute Care Hospital | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2007-02-08 |
| 1639219462 | Alta Bates Summit Medical Center | General Acute Care Hospital | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2007-02-08 |
| 1316088024 | Alta Bates Summit Medical Center | General Acute Care Hospital | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2007-02-08 |
| 1043358542 | Alta Bates Summit Medical Center | Rehabilitation, Substance Use Disorder Unit | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2007-02-05 |
| 1376625277 | Alta Bates Summit Medical Center | Psychiatric Unit | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2006-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALTA BATES SUMMIT MEDICAL CENTER | 350 Hawthorne Ave, Oakland, CA 94609-3108 |
| Street Address |
2001 DWIGHT WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738805 | Bay Area Rehabilitation Medical Group | Physical Medicine & Rehabilitation | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2005-05-27 |
| 1366083545 | Jamba Dolkar Tenzing | Nurse Practitioner | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2019-09-30 |
| 1013401983 | Lindsey Olander | Speech-Language Pathologist | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2018-06-14 |
| 1447604814 | Sutter Bay Hospitals | Psychiatric Unit | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2016-04-21 |
| 1235583360 | Mariam Kamyab | Registered Nurse | 2001 Dwight Way, Ste 1388, Berkeley, CA 94704-2608 | 2016-04-14 |
| 1538563614 | Sutter East Bay Hospitals | Pharmacy | 2001 Dwight Way, Suite 2182, Berkeley, CA 94704-2608 | 2014-10-17 |
| 1821405192 | Altabates Comprehensive Cancer Center | Clinic/Center | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2014-07-17 |
| 1942624408 | Karri Kennedy | Occupational Therapist | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2014-02-04 |
| 1740611375 | Rebecca Hummel-moore | Nurse Practitioner | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2013-12-08 |
| 1386983583 | Tadd T Tobias | Registered Nurse | 2001 Dwight Way, #1363, Berkeley, CA 94704-2608 | 2013-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
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| Taxonomy Code | 261QG0250X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Genetics |
| An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346763711 | Genetic Foresight | Clinic/Center | 2150 Shattuck Ave Ph Genetic, Berkeley, CA 94704-1370 | 2017-07-18 |
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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.