NPIMap

Organization Active NPI

Alta Bates Summit Medical Center

Doing business as Merritt Peralta Insititute

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Oakland, CA
National Provider Identifier
1043358542
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
ALTA BATES SUMMIT MEDICAL CENTER
Doing business as
Merritt Peralta Insititute
Practice address
350 Hawthorne Ave
Oakland, CA 94609-3108
Phone
(510) 869-8850
NPI assigned
Feb 5, 2007
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Gates
Title
Cfo Shba
Phone
(510) 450-7357

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 140000232 CA
Substance Use Disorder Rehabilitation Hospital Unit 276400000X CA Primary

Addresses

Primary practice location

350 Hawthorne Ave
Oakland, CA 94609-3108

Mailing address

PO Box 742920
Los Angeles, CA 90074-2920
Phone (855) 398-1633

Other names 1

  • Merritt Peralta Insititute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alta Bates Hosp Burn de9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations (25 of 32)

450 Park St
Ste 100B
Alameda, CA 94501
Phone (510) 334-5258

2850 Telegraph Ave
Ste 120
Berkeley, CA 94705
Phone (510) 204-8140

2915 Telegraph Ave
Ste 101
Berkeley, CA 94705
Phone (510) 843-4544

2999 Regent St
Ste 201
Berkeley, CA 94705
Phone (510) 204-0965

3000 Colby St
Ste 101
Berkeley, CA 94705
Phone (510) 644-2282

3000 Colby St
Ste 304
Berkeley, CA 94705
Phone (510) 540-6800

3075 Adeline St
Ste 270
Berkeley, CA 94703
Phone (510) 204-5600

20130 Lake Chabot Rd
Ste 307
Castro Valley, CA 94546
Phone (510) 690-9360

911 Moraga Rd
Ste 102
Lafayette, CA 94549
Phone (925) 284-0433

200 UCLA Medical Plz
Ste 420
Los Angeles, CA 90095
Phone (310) 206-4083

2929 Summit St
Ste 101
Oakland, CA 94609
Phone (510) 444-8733

2929 Summit St
Ste 210
Oakland, CA 94609
Phone (510) 832-0839

3012 Summit St
#D
Oakland, CA 94609
Phone (510) 251-1002

3300 Webster St
Ste 1105
Oakland, CA 94609
Phone (510) 208-5400

3300 Webster St
Ste 1202
Oakland, CA 94609
Phone (510) 433-1040

3300 Webster St
Ste 601
Oakland, CA 94609
Phone (510) 272-9610

350 Hawthorne Ave
Ste 2304
Oakland, CA 94609
Phone (510) 869-6786

350 Hawthorne Ave
Ste 2436
Oakland, CA 94609

368 28th St
Oakland, CA 94609
Phone (510) 645-5700

80 Grand Ave
Ste 610
Oakland, CA 94612
Phone (510) 835-0235

2021 Main St
Oakley, CA 94561
Phone (925) 776-8200

1179 N McDowell Blvd
Petaluma, CA 94954

400 Taylor Blvd
Ste 306
Pleasant Hill, CA 94523
Phone (925) 588-3592

2410 Fair Oaks Blvd
Ste 220
Sacramento, CA 95825
Phone (916) 739-1505

1044 Taraval St
San Francisco, CA 94116
Phone (415) 548-2225

Practitioners & affiliated clinicians

Practitioners 640

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 640

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1043358542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742920",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742920",
            "telephone_number": "855-398-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HAWTHORNE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093108",
            "telephone_number": "510-869-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA BATES SUMMIT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO SHBA",
        "authorized_official_telephone_number": "510-450-7357"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "CA",
            "license": "140000232",
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merritt Peralta Insititute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Merritt Peralta Insititute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.