UNIVERSITY HEALTHCARE ALLIANCE (NPI# 1720595564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720595564 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HEALTHCARE ALLIANCE |
| Other Organization Name | CCMG |
| Practice Address |
388 9th St Ste 250 Oakland CA 94607-4294 |
| Mailing Address |
Po Box 742244 Los Angeles CA 90074-2244 |
| Practice Telephone | 5105710133 |
| Mailing Telephone | 5109748258 |
| Mailing Fax Number | 5109748322 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |
| Authorized Official Name | KRISTINE RUSLEN (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 5109748297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CCMG | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760994206 | University Healthcare Alliance | Radiology | 1940 Webster St Ste 102, Oakland, CA 94612-2920 | 2017-10-24 |
| 1356868954 | University Healthcare Alliance | Otolaryngology | 350 30th St Ste 311, Oakland, CA 94609-3425 | 2017-08-24 |
| 1720521289 | University Healthcare Alliance | Internal Medicine | 2299 Mowry Ave Ste 34, Fremont, CA 94538-1621 | 2016-11-30 |
| 1194136523 | University Healthcare Alliance | Internal Medicine | 2222 East St Ste 260, Concord, CA 94520-2074 | 2014-05-20 |
| 1548671050 | University Healthcare Alliance | Obstetrics & Gynecology | 911 Moraga Rd Ste 201, Lafayette, CA 94549-4500 | 2014-05-19 |
| 1245565357 | University Healthcare Alliance | Obstetrics & Gynecology | 321 Middlefield Rd Ste 260, Menlo Park, CA 94025-4010 | 2009-10-07 |
| 1760531198 | University Healthcare Alliance | Allergy & Immunology | 14777 Los Gatos Blvd Fl 2, Los Gatos, CA 95032-2059 | 2007-01-08 |
| 1043246481 | University Healthcare Alliance | Internal Medicine | 100a San Pablo Town Center, San Pablo, CA 94806 | 2006-06-25 |
| 1134625775 | University Healthcare Alliance | Internal Medicine | 2500 Hospital Dr Ste 4a, Mountain View, CA 94040-4110 | 2018-04-03 |
| 1942706569 | University Healthcare Alliance | Internal Medicine | 106 La Casa Via Ste 140, Walnut Creek, CA 94598-3084 | 2018-04-03 |
| Street Address |
388 9TH ST STE 250 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-4294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
| Find all providers in zip 94607 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679998504 | Sam Teichman | Internal Medicine | 631 Hillgirt Cir, Oakland, CA 94610-3708 | 2014-03-01 |
| 1962582189 | Rollington Ferguson | Internal Medicine | 368 28th Street, Suite A, Oakland, CA 94609-3601 | 2006-10-16 |
| 1194746057 | Berkeley Cardiovascular Medical Group | Internal Medicine | 3300 Webster St Ste 702, Oakland, CA 94609-3122 | 2006-07-23 |
| 1922003862 | Earl Louis Holloway IIi | Internal Medicine | 3318 Elm St, Ste 2, Oakland, CA 94609-3013 | 2005-06-16 |
| 1477710671 | Dorinna D. Mendoza | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2008-05-16 |
| 1336317205 | Earl L. Holloway, M.d., Inc | Internal Medicine | 3318 Elm St, Oakland, CA 94609-3012 | 2008-02-13 |
| 1043438179 | Kavita V. Ernst | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-04-23 |
| 1730258179 | Ronald K Szeto | Internal Medicine | 3100 Telegraph Ave, Suite 4103, Oakland, CA 94609-3210 | 2006-11-07 |
| 1245318344 | Rebecca J. Doane | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-02 |
| 1649359787 | David L. Shearn | Internal Medicine | 1950 Franklin St, Oakland, CA 94612-5103 | 2006-11-02 |
| 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.