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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 283Q00000X | Psychiatric Hospital | 140000004 | CA | Hospitals |
Y | 283Q00000X | Psychiatric Hospital | CA | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | HSM00305F | 05 |
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 |
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 |
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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 |
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Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
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. |
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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 |
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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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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.