ALAMEDA HEALTH SYSTEM (NPI# 1922131804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922131804 |
| Entity Type | Organization |
| Organization Name | ALAMEDA HEALTH SYSTEM |
| Other Organization Name | NEWARK HEALTH CENTER |
| Practice Address |
6066 Civic Terrace Ave Newark CA 94560-3746 |
| Mailing Address |
15400 Foothill Blvd San Leandro CA 94578-1009 |
| Practice Telephone | 5105051600 |
| Practice Fax Number | 5104947210 |
| Mailing Telephone | 5108957344 |
| Mailing Fax Number | 5108957229 |
| Enumeration Date | 2007-03-13 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
EXEMPT UNDER 12- | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BCP11799G | 05 | |
| CA | FHC11799G | 05 | |
| CA | HAP11799G | 05 |
| Other Name | Type Code |
|---|---|
| NEWARK HEALTH CENTER | 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 |
6066 CIVIC TERRACE AVE |
| City | NEWARK |
| State | CA |
| Zip Code | 94560-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316093362 | Peter Kusnierczyk | Nurse Practitioner | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2007-01-25 |
| 1770113110 | Anh V Pham | Registered Nurse | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2020-01-24 |
| 1497215362 | Tishu Sharma | Registered Nurse | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2019-03-25 |
| 1063972974 | Tejinder Kaur Khaira | Registered Nurse | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2019-03-25 |
| 1487110623 | Maria Guadalupe Jimenez | Registered Nurse | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2019-02-12 |
| 1538610290 | Alameda Health System | Specialist | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2016-10-18 |
| 1346577384 | Deepika Jannapureddy | Family Medicine | 6066 Civic Terrace Ave, Newark, CA 94560 | 2009-11-12 |
| 1689875478 | Alameda Health System | Clinic/Center | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2007-05-30 |
| 1497956288 | Alameda Health System | Clinic/Center | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2007-05-30 |
| 1821207796 | Stefanie T. Chu | Internal Medicine | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1942788971 | Evelyn Ibanez | Behavioral Analyst | 35201 Lido Blvd, Newark, CA 94560 | 2018-08-01 |
| 1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1063761146 | Sarah Larae Devoe Scribner | Physical Therapist | 5600 John Muir Road, Newark, CA 94560 | 2012-09-05 |
| 1285983858 | Louie Crespo Ortiz-luis | General Practice | 35455 Dumbarton Court, Newark, CA 94560 | 2012-08-29 |
| 1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
| 1083931836 | Susan Elizabeth Hanaburgh | Marriage & Family Therapist | 39899 Balentine Drive #212, Family Service of The Tri-cities, Newark, CA 94560 | 2010-05-03 |
| 1306098694 | Maria Isabelle Santos Tuohy | Dentist | 5270 Newpark Plaza, Newark, CA 94560 | 2008-10-17 |
| 1699955765 | Jaspreet Kaur Harika | Dentist | 39736 Cedar Blvd, Newark, CA 94560 | 2007-11-06 |
| Find all providers in zip 94560 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538724554 | Saint James Health Inc | Clinic/Center | 332 S 8th St, Newark, NJ 07103-2173 | 2019-05-06 |
| 1366993586 | Newark Community Health Centers, Inc | Clinic/Center | 92-96 Ferry Street, Newark, NJ 07105-1817 | 2016-10-24 |
| 1477914612 | City of Newark | Clinic/Center | 30 N Munn Ave # 30a, Newark, NJ 07106-1411 | 2016-03-16 |
| 1932512092 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 120 Manchester Pl, Newark, NJ 07104-1704 | 2014-06-06 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1447522461 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 246 18th Ave, Newark, NJ 07108-2316 | 2012-02-07 |
| 1548431091 | Newark Community Health Centers,inc. | Clinic/Center | 982 Broad St, Newark, NJ 07102-2503 | 2008-03-12 |
| 1619148160 | Newark Community Health Centers,inc. | Clinic/Center | 516 Bergen St, Newark, NJ 07108-1639 | 2008-03-12 |
| 1770784563 | Alameda Health System | Clinic/Center | 6066 Civiv Terrace Avenue, Newark, CA 94560-3756 | 2007-05-30 |
| 1710199468 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 80 Johnson Ave, Newark, NJ 07108-2729 | 2007-05-04 |
| Find all providers in NEWARK | ||||
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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.