NPIMap

Organization Active NPI

Sutter Bay Hospitals

Doing business as Alta Bates Summit Medical Center - Summit Campus

  • Rehabilitation Hospital Unit
  • Oakland, CA
National Provider Identifier
1194171371
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
SUTTER BAY HOSPITALS
Doing business as
Alta Bates Summit Medical Center - Summit Campus
Practice address
350 Hawthorne Avenue
Oakland, CA 94609-3108
Phone
(510) 655-4000
Fax
(510) 869-6198
NPI assigned
May 6, 2016
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

350 Hawthorne Avenue
Oakland, CA 94609-3108

Mailing address

2000 Powell St
10TH Floor
Emeryville, CA 94608-1804
Phone (510) 450-7347

Other names 1

  • Alta Bates Summit Medical Center - Summit Campus Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050517000547 CA Part B Supplier - Clinic/Group Practice 3476506528 Receives reassigned benefits from 144 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Castro Valley, CA; Santa Rosa, CA; San Leandro, CA; San Francisco, CA; Oakland, CA; Lakeport, CA; Berkeley, CA; Burlingame, CA…
O20171214002351 CA Part A Provider - Hospital 3476506528 Practice locations: Oakland, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194171371. Details of each certification follow.

Hospital certification: CCN 05T043

Legal name
SUTTER BAY HOSPITALS
Doing business as
ALTA BATES SUMMIT MEDICAL CENTER-SUMMIT CAMPUS
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1885 in CA
Enrollment address
350 Hawthorne Ave
Oakland, CA 94609-3108
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 22

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

View all 22

Other NPIs on the same Medicare enrollment 12

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Alta Bates Summit Medical CenterCCN 05T043 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 2015

National Provider Directory

National Provider Directory
Tax ID family
Sutter West Bay Hospitals62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations (25 of 82)

1442 Webster St
Alameda, CA 94501
Phone (510) 522-0377

416 Napa Junction Rd
Ste 140
American Canyon, CA 94503

1936 University Ave
Ste 112
Berkeley, CA 94704
Phone (510) 488-6767

2006 Dwight Way
Ste 207
Berkeley, CA 94704
Phone (510) 644-2256

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

3030 Telegraph Ave
Berkeley, CA 94705
Phone (510) 204-1081

3100 San Pablo Ave
Ste 310
Berkeley, CA 94702
Phone (510) 985-5020

3260 Sacramento St
Berkeley, CA 94702
Phone (510) 428-4500

1720 El Camino Real
Ste 118
Burlingame, CA 94010
Phone (650) 636-7850

726 N Medical Center Dr E
Ste 223
Clovis, CA 93611
Phone (559) 472-4255

1320 El Capitan Dr
Ste 320
Danville, CA 94526
Phone (925) 866-2100

5855 Doyle St
Ste 110
Emeryville, CA 94608
Phone (510) 529-3800

1125 E Spruce Ave
Ste 103
Fresno, CA 93720
Phone (553) 475-0286

500 Alfred Nobel Dr
Ste 150
Hercules, CA 94547
Phone (510) 741-2111

5132 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

520 S Virgil Ave
Ste 106
Los Angeles, CA 90020
Phone (213) 234-5575

100 Rowland Way
Novato, CA 94945
Phone (415) 209-2444

100 Rowland Way
Ste 310
Novato, CA 94945
Phone (415) 209-1460

2923 Webster St
Ste 202
Oakland, CA 94609
Phone (510) 451-4142

3011 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-4379

3012 Summit St
Ste 2600
Oakland, CA 94609
Phone (510) 869-8972

3100 Summit St
Fl 4
Oakland, CA 94609

3100 Summit St
Ste 2447A
Oakland, CA 94609
Phone (510) 869-8451

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

350 Hawthorne Ave
Ste 2308
Oakland, CA 94609
Phone (510) 869-6883

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Jane C Varner Individual Corporate DirectorBoard Member Jan 1, 2019
Eric a Flowers Individual Corporate DirectorBoard Member May 20, 2015
Jill M Kacher Cobb Individual Corporate DirectorBoard Member Jan 1, 2019
Theodore Deikel Individual Corporate DirectorBoard Member May 21, 2015
Ronesh Sinha Individual Corporate DirectorBoard Member May 21, 2015
John F Ryan Individual Corporate DirectorBoard Member May 21, 2015
Henry Yu Individual Corporate OfficerCfo Jun 9, 2023
W-2 Managing Employee Jun 9, 2023
Umesh V Padval Individual Corporate DirectorBoard Member Jan 1, 2019
Sutter Health Organization, Sacramento, CA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Dec 27, 1999 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Sutter Lakeside HospitalLakeport, CA, CCN 051329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2010
California Pacific Medical Center - Davies CampusSan Francisco, CA, CCN 056245 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2016

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 712

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 712

Affiliated clinicians 8

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

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1194171371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 POWELL ST",
            "address_2": "10TH FLOOR",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081804",
            "telephone_number": "510-450-7347",
            "fax_number": "510-450-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HAWTHORNE AVENUE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093108",
            "telephone_number": "510-655-4000",
            "fax_number": "510-869-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER BAY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-450-7357"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Bates Summit Medical Center - Summit Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alta Bates Summit Medical Center - Summit Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.