Alta Bates Medical Group Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

1177151 Issued in CA

Legal business name

ALTA BATES MEDICAL GROUP INC

Practice address

2000 Powell St
200
Emeryville, CA 94608-1804

Phone

(510) 596-4780

Fax

(510) 596-4785

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Slaggert

Title

Cheif Executive Office

Phone

(510) 596-4782

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306049226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 POWELL STREET",
            "address_2": "200",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "94608",
            "telephone_number": "510-596-4780",
            "fax_number": "510-596-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 POWELL ST",
            "address_2": "200",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081804",
            "telephone_number": "510-596-4780",
            "fax_number": "510-596-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA BATES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLAGGERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "510-596-4782",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "1177151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anna Donna Alongi, PA-C
• Benjamin Altman
• Sandra Amador Mora, MFT
• Anne Dara Amala
• Maura Amaral
• American Lung Association of California

• Health Maintenance Organization in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.