SUTTER EAST BAY HOSPITALS (NPI# 1922180827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922180827 |
| Entity Type | Organization |
| Organization Name | SUTTER EAST BAY HOSPITALS |
| Other Organization Name | ALTA BATES SUMMIT MEDICAL CENTER |
| Practice Address |
2001 Dwight Way Berkeley CA 94704-2608 |
| Mailing Address |
Po Box 742920 Los Angeles CA 90074-2920 |
| Practice Telephone | 5102044444 |
| Mailing Telephone | 8553981633 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-04-21 |
| Authorized Official Name | JOHN GATES (CFO SHBA) |
| Authorized Official Telephone | 5104507357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 140000004 | CA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR000305F | 05 | |
| CA | HSC00305F | 05 |
| Other Name | Type Code |
|---|---|
| Alta Bates Summit Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538563614 | Sutter East Bay Hospitals | Pharmacy | 2001 Dwight Way, Suite 2182, Berkeley, CA 94704-2608 | 2014-10-17 |
| 1215344965 | Sutter East Bay Hospitals | Rehabilitation Unit | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2014-07-15 |
| 1811129752 | Sutter East Bay Hospitals | General Acute Care Hospital | 3901 Lone Tree Way, Antioch, CA 94509-6200 | 2009-08-11 |
| 1992881759 | Sutter East Bay Hospitals | Skilled Nursing Facility | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2006-10-27 |
| 1316021546 | Sutter East Bay Hospitals | Skilled Nursing Facility | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2006-10-24 |
| 1861582645 | Sutter East Bay Hospitals | Rehabilitation Unit | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2006-10-13 |
| 1013906221 | Sutter East Bay Hospitals | Clinical Medical Laboratory | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2005-10-19 |
| 1740279959 | Sutter East Bay Hospitals | Clinical Medical Laboratory | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2005-10-19 |
| Street Address |
2001 DWIGHT WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738805 | Bay Area Rehabilitation Medical Group | Physical Medicine & Rehabilitation | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2005-05-27 |
| 1366083545 | Jamba Dolkar Tenzing | Nurse Practitioner | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2019-09-30 |
| 1013401983 | Lindsey Olander | Speech-Language Pathologist | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2018-06-14 |
| 1447604814 | Sutter Bay Hospitals | Psychiatric Unit | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2016-04-21 |
| 1235583360 | Mariam Kamyab | Registered Nurse | 2001 Dwight Way, Ste 1388, Berkeley, CA 94704-2608 | 2016-04-14 |
| 1336529106 | Alta Bates Summit Medical Center | Clinic/Center | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2015-06-05 |
| 1538563614 | Sutter East Bay Hospitals | Pharmacy | 2001 Dwight Way, Suite 2182, Berkeley, CA 94704-2608 | 2014-10-17 |
| 1821405192 | Altabates Comprehensive Cancer Center | Clinic/Center | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2014-07-17 |
| 1942624408 | Karri Kennedy | Occupational Therapist | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2014-02-04 |
| 1740611375 | Rebecca Hummel-moore | Nurse Practitioner | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2013-12-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447604814 | Sutter Bay Hospitals | Psychiatric Unit | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2016-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807643 | Pacific Health Group Inc. | Psychiatric Unit | 9120 Woodman Ave, Arleta, CA 91331-6405 | 2020-06-26 |
| 1720627979 | Ernest Markovich | Psychiatric Unit | 3235 N Hartman St, Orange, CA 92865-1216 | 2020-01-04 |
| 1316416670 | Psychiatric Excellence | Psychiatric Unit | 388 Market St Ste 1300, San Francisco, CA 94111-5316 | 2018-11-16 |
| 1982192514 | Veronica E Martinez | Psychiatric Unit | 9481 Hanford St, Ventura, CA 93004-0704 | 2018-04-30 |
| 1679008817 | Ucla Semel Institute | Psychiatric Unit | 615 6th St, Davis, CA 95616-3807 | 2017-04-25 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1871045385 | Molina Psychological Consultants | Psychiatric Unit | 18 Monrovia, Irvine, CA 92602-0925 | 2016-10-31 |
| 1457808073 | Susan Mora | Psychiatric Unit | 1239 Powell St, Apt 2, San Francisco, CA 94133-4874 | 2016-09-01 |
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1477931673 | Nigthingale Nurses | Psychiatric Unit | 350 N Magnolia St, Woodlake, CA 93286-1320 | 2015-05-08 |
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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.