SUTTER BAY HOSPITALS (NPI# 1699281501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699281501 |
| Entity Type | Organization |
| Organization Name | SUTTER BAY HOSPITALS |
| Other Organization Name | EAST BAY AIDS CENTER OUTPATIENT PHARMACY |
| Practice Address |
3100 Summit St Oakland CA 94609-3412 |
| Practice Telephone | 5108698451 |
| Practice Fax Number | 5108698458 |
| Mailing Telephone | 5108698451 |
| Mailing Fax Number | 5108698458 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |
| Authorized Official Name | JEFF GERARD (REGIONAL PRESIDENT) |
| Authorized Official Telephone | 5104507347 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUTTER BAY HOSPITALS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PHY49947 | CA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49947 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF PHARMACY | PHY49947 | 01 |
| Other Name | Type Code |
|---|---|
| East Bay AIDS Center Outpatient Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952634008 | Sutter Bay Hospitals | General Acute Care Hospital | 5176 Hill Rd. E, Lakeport, CA 95453-6300 | 2009-09-08 |
| 1326554239 | Sutter Bay Hospitals | Pharmacy | 2001 Dwight Way Ste 2182, Berkeley, CA 94704-2608 | 2017-12-15 |
| 1295181477 | Sutter Bay Hospitals | Clinical Medical Laboratory | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2016-05-06 |
| 1194171371 | Sutter Bay Hospitals | Rehabilitation Unit | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2016-05-06 |
| 1467808659 | Sutter Bay Hospitals | General Acute Care Hospital | 3901 Lone Tree Way, Antioch, CA 94509-6200 | 2016-05-06 |
| 1639523004 | Sutter Bay Hospitals | Clinical Medical Laboratory | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2016-04-21 |
| 1447604814 | Sutter Bay Hospitals | Psychiatric Unit | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2016-04-21 |
| 1295199701 | Sutter Bay Hospitals | General Acute Care Hospital | 570 Willow Rd, Menlo Park, CA 94025-2617 | 2016-04-11 |
| 1922462431 | Sutter Bay Hospitals | Custodial Care Facility | 1720 El Camino Real, Suite 10, Burlingame, CA 94010-3224 | 2016-04-11 |
| 1689035628 | Sutter Bay Hospitals | General Acute Care Hospital | 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 | 2016-03-18 |
| Street Address |
3100 SUMMIT ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404719 | Herbert Arthur Holman | Dermatology | 3100 Summit St, Fl 2, Oakland, CA 94609-3412 | 2006-02-07 |
| 1962048488 | Mellany Ann Aquino | Nurse Practitioner | 3100 Summit St, Oakland, CA 94609-3412 | 2019-11-19 |
| 1518414879 | Tashi Schaaf | Registered Nurse | 3100 Summit St, 2nd Floor, Suite 2549, Oakland, CA 94609-3412 | 2016-09-04 |
| 1467813683 | Elisabeth Anne Sherratt | Nurse Practitioner | 3100 Summit St, 2nd Floor, Suite 2549, Oakland, CA 94609-3412 | 2016-03-16 |
| 1831577444 | Michelle Keh | Dietitian, Registered | 3100 Summit St, Office 5414, Oakland, CA 94609-3412 | 2015-05-14 |
| 1518355411 | Sophia Stewart | Registered Nurse | 3100 Summit St, Oakland, CA 94609-3412 | 2014-12-30 |
| 1194132837 | Jay Michael Hunter | Nurse Practitioner | 3100 Summit St, Oakland, CA 94609-3412 | 2014-07-15 |
| 1063833192 | Amelia Atalig-smith | Nurse Practitioner | 3100 Summit St, 2nd Floor, Suite 2549, Oakland, CA 94609-3412 | 2013-12-16 |
| 1225384415 | Raffi A Bashlian | Nurse Practitioner | 3100 Summit St, 2nd Floor, East Bay Aids Center (ebac), Oakland, CA 94609-3412 | 2012-07-25 |
| 1093031122 | Kim Seay | Dietitian, Registered | 3100 Summit St, Oakland, CA 94609-3412 | 2010-04-14 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265040828 | Augusta Ikhile | Pharmacy | 10633 International Blvd, Oakland, CA 94603-3805 | 2020-07-20 |
| 1457879835 | Walgreen Co | Pharmacy | 5809 Foothill Blvd, Oakland, CA 94605-1305 | 2017-09-06 |
| 1821337528 | Rockforth Pharmacy | Pharmacy | 10500 International Blvd, Oakland, CA 94603-3804 | 2013-02-01 |
| 1487885604 | Lg Pharmacies, LLC | Pharmacy | 1620 High St, Suite 2b, Oakland, CA 94601-4536 | 2009-08-05 |
| 1598937161 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 5729 College Ave, Oakland, CA 94618 | 2008-03-24 |
| 1710021886 | Save Mart Supermarkets | Pharmacy | 3000 E 9th St, Oakland, CA 94601-2937 | 2007-02-20 |
| 1083762967 | Kaiser Foundation Health Plan Inc | Pharmacy | 3801 Howe St Fl 4, Oakland, CA 94611 | 2007-01-08 |
| 1699823575 | Kaiser Foundation Health Plan Inc | Pharmacy | 3505 Broadway Fl 4, Oakland, CA 94611-5714 | 2007-01-08 |
| 1598812810 | Kaiser Foundation Health Plan Inc | Pharmacy | 3801 Howe St Fl 1, Oakland, CA 94611-5312 | 2007-01-05 |
| 1437212149 | Oakland Pharmacy Inc | Pharmacy | 601 Pioneer Ave, Oakland, IA 51560 | 2006-12-18 |
| 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.