ALAMEDA HEALTH SYSTEM (NPI# 1558749440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558749440 |
Entity Type | Organization |
Organization Name | ALAMEDA HEALTH SYSTEM |
Other Organization Name | AHS HOMELESS MOBILE CLINIC #1 |
Practice Address |
15400 Foothill Blvd San Leandro CA 94578-3746 |
Mailing Address |
15400 Foothill Blvd San Leandro CA 94578-1009 |
Practice Telephone | 5105321930 |
Mailing Telephone | 5108957344 |
Mailing Fax Number | 5108957229 |
Enumeration Date | 2015-05-11 |
Last Update Date | 2016-05-27 |
Authorized Official Name | BERNADETTE JENSEN (VP OF REVENUE CYCLE) |
Authorized Official Telephone | 5106182147 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
AHS Homeless Mobile Clinic #1 | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770784563 | Alameda Health System | Clinic/Center | 6066 Civiv Terrace Avenue, Newark, CA 94560-3756 | 2007-05-30 |
1104959089 | Alameda Health System | Clinic/Center | 6955 Foothill Blvd Suite 200, Oakland, CA 94605-2409 | 2007-03-13 |
1033241633 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2007-03-09 |
1932265204 | Alameda Health System | Pharmacy | 15400 Foothill Blvd Bldg E, San Leandro, CA 94578-1009 | 2006-12-29 |
1396764353 | Alameda Health System | General Acute Care Hospital | 1411 E 31st Street, Oakland, CA 94602 | 2006-07-19 |
1205324696 | Alameda Health System | Clinic/Center | 1411 E 31st St, Oakland, CA 94602-1018 | 2018-05-01 |
1891200820 | Alameda Health System | Psychiatric Hospital | 2060 Fairmont Dr, San Leandro, CA 94578-1001 | 2017-12-13 |
1083166144 | Alameda Health System | Clinic/Center | 6955 Foothill Blvd, Oakland, CA 94605-2455 | 2016-10-25 |
1508317264 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2016-10-18 |
1538610290 | Alameda Health System | Specialist | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2016-10-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Alameda Health System | 7677 Oakport Street 12th Floor, Oakland, CA 94621 |
Street Address |
15400 FOOTHILL BLVD |
City | SAN LEANDRO |
State | CA |
Zip Code | 94578-3746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982705943 | Susan Annette Smiley | Occupational Therapist | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2006-09-25 |
1811508781 | Gina L Walker | Registered Nurse | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2020-08-13 |
1295209740 | Diana Lawton | Marriage & Family Therapist | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2019-01-17 |
1033682604 | Thomas Rooker | Social Worker | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2019-01-07 |
1154761096 | Brandon Emmick Kopald | Clinical Neuropsychologist | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2013-06-25 |
1710254081 | Maricela Segura Martin | Registered Nurse | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2011-11-30 |
1528367695 | Jaineicia Marie Harris | Occupational Therapist | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2011-03-15 |
1306175088 | Amtul Ahmad | Pediatrics | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2009-12-09 |
1043543325 | Alameda County Medical Group | Clinic/Center | 15400 Foothill Blvd, San Leandro, CA 94578-1091 | 2009-09-17 |
1629239553 | Daniel Andrew Winkle Jr. | Physical Medicine & Rehabilitation | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2008-06-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
Find all providers in zip 94578 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1669911459 | Asian Health Services | Clinic/Center | 433 Callan Ave Ste 301, San Leandro, CA 94577-4641 | 2017-02-14 |
1295203669 | Asian Health Services | Clinic/Center | 101 Callan Ave Ste 105, San Leandro, CA 94577-4584 | 2018-11-05 |
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Find all providers with the same taxonomy |
City | SAN LEANDRO |
Zip Code | 94578 |
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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.