ALTA BATES SUMMIT MEDICAL CENTER


Address: 350 Hawthorne Ave, Oakland, CA 94609-3108
Phone: 5108696987

ALTA BATES SUMMIT MEDICAL CENTER (NPI# 1457489502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457489502
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 5108696987
Mailing Telephone 8553981633
Enumeration Date 2007-03-01
Last Update Date 2013-12-03
Authorized Official Name MR. BRIAN TRENT HUNTER (VP SHARED SERVICES)
Authorized Official Telephone 9162978555
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 283Q00000X Psychiatric Hospital 140000004 CA Hospitals
Y 283Q00000X Psychiatric Hospital CA Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
CA HSM00305F 05

Other Provider IDs and Locations

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
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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ALTA BATES SUMMIT MEDICAL CENTER 350 Hawthorne Ave, Oakland, CA 94609-3108

Office Location

Street Address 350 HAWTHORNE AVE
City OAKLAND
State CA
Zip Code 94609-3108

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 283Q00000X
Grouping Hospitals
Classification Psychiatric Hospital

Taxonomy Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881641421 Telecare Corporation Psychiatric Hospital 2633 E 27th St, Oakland, CA 94601-1912 2006-05-28
1932150281 Telecare Heritage Psychiatric Healthy Facility Psychiatric Hospital 2366 E 27th St, Oakland, CA 94601-1331 2006-05-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740892017 Avamed Inc. Psychiatric Hospital 12955 Riverside Dr Apt 204, Sherman Oaks, CA 91423-2202 2020-08-18
1437769957 North Valley Behavioral Health, LLC Psychiatric Hospital 1253 Stabler Lane, Yuba City, CA 95993 2020-08-10
1811549504 Sacramento Behavioral Healthcare Hospital, LLC Psychiatric Hospital 1400 Expo Pkwy, Sacramento, CA 95815-4230 2019-07-12
1932603990 Central Star Behavioral Health, Inc. Psychiatric Hospital 496 South Barton Ave, Fresno, CA 93750-0001 2018-03-22
1639601933 Restpadd Health Corp Psychiatric Hospital 925 Walnut St, Red Bluff, CA 96080-3707 2017-03-28
1790223790 Adrian Zamora Psychiatric Hospital 1569 Michael Place, Porterville, CA 93257 2017-02-09
1558812404 Sonnia A. Ahinasi Psychiatric Hospital 4192 Via Napoli, Montclair, CA 91763-4750 2016-10-16
1316399660 Itzel Lopez Psychiatric Hospital 1869 Lombard St, San Francisco, CA 94123-2909 2016-07-11
1770931032 Ruby Lorraine Summus Psychiatric Hospital 4111 Jonathon St, Oceanside, CA 92056-4217 2016-05-27
1760841126 County of Los Angeles Psychiatric Hospital 5800 South St Apt 163, Lakewood, CA 90713-1331 2016-02-15
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Competitor

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City OAKLAND
Zip Code 94609

Improve Information

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Dataset Information

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.

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