ALTA BATES SUMMIT MEDICAL CENTER (NPI# 1649720954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649720954 |
| Entity Type | Organization |
| Organization Name | ALTA BATES SUMMIT MEDICAL CENTER |
| Practice Address |
350 Hawthorne Ave Oakland CA 94609-3108 |
| Practice Telephone | 5106554000 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | JENNIFER MCALMOND-CRUZ (SYSTEM CLINICAL NUTRITION MANAGER) |
| Authorized Official Telephone | 5106554000 |
| Authorized Official Credential | RD, CNSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891242681 | Anna Sarukhanov | General Acute Care Hospital | 600 William St Apt 224, Oakland, CA 94612-5407 | 2016-09-08 |
| 1528340700 | On-call Therapists Inc | General Acute Care Hospital | 7700 Edgewater Dr #801, Oakland, CA 94621-3024 | 2011-09-14 |
| 1396764353 | Alameda Health System | General Acute Care Hospital | 1411 E 31st Street, Oakland, CA 94602 | 2006-07-19 |
| 1356341499 | Garrett County Memorial Hospital | General Acute Care Hospital | 251 N Fourth St, Oakland, MD 21550-1375 | 2005-07-29 |
| 1164047734 | Garrett County Memorial Hospital | General Acute Care Hospital | 251 N 4th St, Oakland, MD 21550-1375 | 2020-06-10 |
| 1578934774 | Highland Hospital Oral and Maxillofacial Surgery | General Acute Care Hospital | 1411 E 31st St, Oakland, CA 94602-1018 | 2015-10-13 |
| 1275922866 | The Permanente Medical Group | General Acute Care Hospital | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2015-01-20 |
| 1588061378 | First Surgical Consultants | General Acute Care Hospital | 365 Hawthorne Ave, 101, Oakland, CA 94609-3107 | 2014-11-24 |
| 1437582400 | Highland Hospital | General Acute Care Hospital | 1411 E 31st St, Oakland, CA 94602-1018 | 2013-08-14 |
| 1538428743 | William Hou | General Acute Care Hospital | 100 Grand Ave, Apt #1102, Oakland, CA 94612-3078 | 2012-05-08 |
| Find all providers in OAKLAND | ||||
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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.