Alameda Health System
Organization Active NPI Anesthesiology Physician · Oakland, CA
NPI 1265584809 · NPPES record last updated May 27, 2016
Key facts
- NPI
- 1265584809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ALAMEDA HEALTH SYSTEM
- Practice address
- 1411 E 31St St
Oakland, CA 94602-1018 - Phone
- (510) 437-4800
- Fax
- (510) 437-4187
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Bernadette Jensen
- Title
- VP of Revenue Cycle
- Phone
- (510) 618-2147
Other NPIs on the same Medicare enrollment 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
1411 E 31St St
Oakland, CA 94602-1018
Mailing address
15400 Foothill Blvd
San Leandro, CA 94578-1009
Phone (510) 895-7344
Other names
- ANESTHESIA DEPARTMENT
Other providers in Oakland, CA
- Alameda Health System
- Alameda Health System
- Alameda Health System
- Alameda Health System
- Alameda Health System
- Alameda Health System
- Alameda Health System
- Alameda Health System
- Alameda Health System
- Alameda Health System
All providers in Oakland, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.