HIGHLAND HOSPITAL (NPI# 1780134270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780134270 |
| Entity Type | Organization |
| Organization Name | HIGHLAND HOSPITAL |
| Other Organization Name | ALAMEDA HEALTH SYSTEM |
| Practice Address |
1411 E 31st St Oakland CA 94602-1018 |
| Mailing Address |
1937 Cedar St Berkeley CA 94709-2029 |
| Practice Telephone | 5104374800 |
| Mailing Telephone | 4084252738 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | DR. CHAN PARK (OMFS PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5104374800 |
| Authorized Official Credential | MD, DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
100573 | CA | Ambulatory Health Care Facilities |
| Y | 282N00000X | General Acute Care Hospital | 100573 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| Alameda Health System | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629286265 | Highland Hospital | Clinic/Center | 1381 South Ave, Rochester, NY 14620-2830 | 2007-05-18 |
| 1437582400 | Highland Hospital | General Acute Care Hospital | 1411 E 31st St, Oakland, CA 94602-1018 | 2013-08-14 |
| 1699019018 | Highland Hospital | Clinic/Center | 1000 South Ave, Rochester, NY 14620-2733 | 2012-11-26 |
| 1275834087 | Highland Hospital | General Acute Care Hospital | 1000 South Ave, Department of Medicine Box 58, Rochester, NY 14620-2733 | 2010-11-10 |
| 1083924625 | Highland Hospital | General Acute Care Hospital | 1000 South Ave, Rochester, NY 14620-2733 | 2010-10-18 |
| 1205099629 | Highland Hospital | General Acute Care Hospital | 905 Culver Rd, Rochester, NY 14609-7141 | 2008-07-07 |
| 1982895637 | Highland Hospital | General Acute Care Hospital | 1000 South Ave, Rochester, NY 14620-2733 | 2007-08-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HIGHLAND HOSPITAL | Delavan Ave., Beacon, New York 12508 |
| System for Award Management (SAM) Entities | HIGHLAND HOSPITAL & HIGHLAND WELLNESS | 1411 E 31st St, Oakland, CA 94602-1018 |
| System for Award Management (SAM) Entities | HIGHLAND HOSPITAL OF ROCHESTER | 1000 South Ave, Rochester, NY 14620-2733 |
| New York State Corporations | HIGHLAND HOSPITAL OF ROCHESTER | 1000 South Avenue, Rochester, New York 14620 |
| Ohio Business Entities | HIGHLAND HOSPITAL PHARMACY | 10960 Wilshire Blvd, Los Angeles, CA 90024 |
| Massachusetts Corporations | HIGHLAND HOSPITALITY ARLINGTON, LLC | Po Box 968, Lynnfield, MA 01940 |
| Massachusetts Corporations | HIGHLAND HOSPITALITY BOSTON, LLC | 100 Cummings Center, Suite 246-d, Beverly, MA 01915 |
| New York State Corporations | HIGHLAND HOSPITALITY GROUP, LLC | 5180 Route 9w, Newburgh, New York 12550 |
| North Carolina Corporations | Highland Hospitality LLC | 4006 Seven Lakes West, West End, NC 27376 |
| Colorado Business Entities | Highland Hospitality Services, LLC | 10 E 120th Ave, Northglenn, CO 80233 |
| Street Address |
1411 E 31ST ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733135 | Andrea Elizabeth Williams | Family Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-10-06 |
| 1972101186 | Jennifer Pham | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-12 |
| 1922606276 | Monica Mofidi | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-09 |
| 1639785223 | Mercedeh Nicole Vaez | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-09-18 |
| 1962015701 | Egbe Iyabo Omoregie | Nurse Practitioner | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-30 |
| 1275146672 | Jessica Labioda Sohn | Social Worker | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-25 |
| 1760093462 | Himalina Rajanakhan | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1092 | 2020-08-14 |
| 1316558018 | Lisa De La Cruz | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-14 |
| 1396356762 | Jermaine Robertson | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-11 |
| 1700496437 | Kathleen Puanani Hennessy | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| 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 |
| 1649720954 | Alta Bates Summit Medical Center | General Acute Care Hospital | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2016-10-11 |
| 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 |
| 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.