ALAMEDA HEALTH SYSTEM (NPI# 1669595906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669595906 |
| Entity Type | Organization |
| Organization Name | ALAMEDA HEALTH SYSTEM |
| Other Organization Name | AIDS WAIVER CASE MANAGEMENT |
| Practice Address |
15400 Foothill Blvd Bldg E San Leandro CA 94578-1009 |
| Mailing Address |
15400 Foothill Blvd San Leandro CA 94578-1009 |
| Practice Telephone | 5108957230 |
| Practice Fax Number | 5108954231 |
| Mailing Telephone | 5108957344 |
| Mailing Fax Number | 5108957229 |
| Enumeration Date | 2007-04-10 |
| 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 | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AYD000110 | 05 |
| Other Name | Type Code |
|---|---|
| Aids Waiver Case Management | Doing Business As Name - 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 BLDG E |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1009 |
| 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 |
| 1558749440 | Alameda Health System | Clinic/Center | 15400 Foothill Blvd, San Leandro, CA 94578-3746 | 2015-05-11 |
| 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 |
| 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 | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972485 | Jessica Jasmin Ibarra | Case Manager/Care Coordinator | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2019-09-29 |
| 1871067462 | Han A Jung | Case Manager/Care Coordinator | 101 Callan Ave Ste 400, San Leandro, CA 94577-4523 | 2019-01-16 |
| 1588135321 | Alejandra Acosta | Case Manager/Care Coordinator | 16110 E 14th St, San Leandro, CA 94578-3002 | 2018-12-05 |
| 1962984088 | Cynthia Diane Kaufman | Case Manager/Care Coordinator | 13847 E 14th St Ste 205, San Leandro, CA 94578-2626 | 2018-09-05 |
| 1972013035 | Alan Sanchez Jorge | Case Manager/Care Coordinator | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2017-10-03 |
| 1891218442 | Margaret Pettibone | Case Manager/Care Coordinator | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2017-07-25 |
| 1750832440 | Axel Bulutoglu | Case Manager/Care Coordinator | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2016-10-18 |
| 1346662491 | Falilah Bilal | Case Manager/Care Coordinator | 16378 E 14th St, San Leandro, CA 94578-5120 | 2014-01-09 |
| 1386908036 | Kaireece Allen | Case Manager/Care Coordinator | 2035 Fairmont Dr, San Leandro, CA 94578-1088 | 2012-06-27 |
| 1265796916 | Latisha Cummings | Case Manager/Care Coordinator | 2035 Fairmont Dr, San Leandro, CA 94578-1088 | 2012-06-27 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
Please comment or provide details below to improve the information on ALAMEDA HEALTH SYSTEM.
| 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.