NPIMap

Organization Active NPI

Alameda Health System

Doing business as Highland General Hospital

  • General Acute Care Hospital
  • Oakland, CA
National Provider Identifier
1083815872
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
140000046 Issued in CA
Legal business name
ALAMEDA HEALTH SYSTEM
Doing business as
Highland General Hospital
Practice address
1411 E 31St St
Oakland, CA 94602-1018
Phone
(510) 437-4800
NPI assigned
May 30, 2007
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Shari Johnson
Title
VP Revenue Cycle
Phone
(510) 407-2869

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 140000046 CA Primary
General Acute Care Hospital 282N00000X NU

Addresses

Primary practice location

1411 E 31St St
Oakland, CA 94602-1018

Mailing address

15400 Foothill Blvd
San Leandro, CA 94578
Phone (510) 437-4800

Other names 1

  • HIGHLAND GENERAL HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030726000001 CA Part A Provider - Hospital 3779494521 2 other NPIs on this enrollment
Practice locations: San Leandro, CA; Oakland, CA
O20031110000764 CA Part B Supplier - Clinic/Group Practice 3779494521 Receives reassigned benefits from 973 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alameda, CA; Castro Valley, CA; Hayward, CA; Newark, CA; Oakland, CA; San Leandro, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083815872. Details of each certification follow.

Hospital certification: CCN 050320

Legal name
ALAMEDA HEALTH SYSTEM
Doing business as
HIGHLAND HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 25, 2019
Beds
613
Ownership / control type
Hospital district or authority
Most recent change of ownership
Jul 1, 1998 (1 total)
Organization structure
OtherProprietary
Enrollment address
1411 E 31St St
Oakland, CA 94602-1018
Other Hospital Practice Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
Highland HospitalCCN 050320 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ghassan Jamaleddine Individual Corporate DirectorCmo Mar 1, 2018
Luis Fonseca Individual Corporate OfficerChief Operatiing Officer Jul 1, 2016
Margaret Loomis Individual W-2 Managing EmployeeDir of Physician Revenue Jun 27, 2011
Delvecchio S Finley Individual Corporate OfficerCeo Aug 31, 2015

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
John George Psychiatric HospitalSan Leandro, CA, CCN 05S320 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1998
San Leandro Hospital Rehabilitation UnitSan Leandro, CA, CCN 05T320 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1998
Alameda Health SystemAlameda, CA, CCN 050211 Hospital Other (100%) May 1, 2014
Fairmont HospitalSan Leandro, CA, CCN 056479 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1998
Hayward Wellness CenterHayward, CA, CCN 751807 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Sep 18, 1998

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 635

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 635

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1083815872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 FOOTHILL BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94578",
            "telephone_number": "510-437-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E 31ST ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021018",
            "telephone_number": "510-437-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "510-407-2869"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "140000046",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGHLAND GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HIGHLAND GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.