ALTA BATES SUMMIT MEDICAL CENTER (NPI# 1376625277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376625277 |
| Entity Type | Organization |
| Organization Name | ALTA BATES SUMMIT MEDICAL CENTER |
| Practice Address |
350 Hawthorne Ave Oakland CA 94609-3108 |
| Mailing Address |
Po Box 742920 Los Angeles CA 90074-2920 |
| Practice Telephone | 5106554000 |
| Mailing Telephone | 8553981633 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-12-02 |
| Authorized Official Name | MR. BRIAN TRENT HUNTER (VP SHARED SERVICES) |
| Authorized Official Telephone | 9162978555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | 140000284 | CA | Hospital Units |
| Y | 273R00000X | Psychiatric Unit | CA | Hospital Units |
| 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 |
| 1336529106 | Alta Bates Summit Medical Center | Clinic/Center | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2015-06-05 |
| 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 |
| 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 |
350 HAWTHORNE AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831181114 | Fredric K. Chin | Radiology | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2005-08-22 |
| 1619597887 | Ngan Ki Lai | Pharmacist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2020-04-17 |
| 1619528452 | Catherine Datu | Occupational Therapist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2019-09-24 |
| 1376194183 | Yenlinh Thi Bui | Pharmacist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2019-09-23 |
| 1376190405 | Monique Marie Adams | Physical Therapist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2019-08-22 |
| 1174099519 | Jesse Morris | Physical Therapist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2018-10-23 |
| 1619476348 | Emily Jane Medeiros | Pharmacist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2018-02-08 |
| 1023525136 | Kerry Canton | Occupational Therapist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2018-01-10 |
| 1841709979 | Kristin Burgess Mcbride | Emergency Medicine | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2017-09-20 |
| 1073037610 | Erica Chang | Nurse Practitioner | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2017-07-26 |
| Find all providers in the same location | ||||
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689867038 | Children's Hospital & Research Center At Oakland | Psychiatric Unit | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807643 | Pacific Health Group Inc. | Psychiatric Unit | 9120 Woodman Ave, Arleta, CA 91331-6405 | 2020-06-26 |
| 1720627979 | Ernest Markovich | Psychiatric Unit | 3235 N Hartman St, Orange, CA 92865-1216 | 2020-01-04 |
| 1316416670 | Psychiatric Excellence | Psychiatric Unit | 388 Market St Ste 1300, San Francisco, CA 94111-5316 | 2018-11-16 |
| 1982192514 | Veronica E Martinez | Psychiatric Unit | 9481 Hanford St, Ventura, CA 93004-0704 | 2018-04-30 |
| 1679008817 | Ucla Semel Institute | Psychiatric Unit | 615 6th St, Davis, CA 95616-3807 | 2017-04-25 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1871045385 | Molina Psychological Consultants | Psychiatric Unit | 18 Monrovia, Irvine, CA 92602-0925 | 2016-10-31 |
| 1457808073 | Susan Mora | Psychiatric Unit | 1239 Powell St, Apt 2, San Francisco, CA 94133-4874 | 2016-09-01 |
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1477931673 | Nigthingale Nurses | Psychiatric Unit | 350 N Magnolia St, Woodlake, CA 93286-1320 | 2015-05-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALTA BATES SUMMIT MEDICAL CENTER.
| 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.