Alta Bates Summit Medical Center
Organization Active NPI General Acute Care Hospital · Berkeley, CA
NPI 1316088024 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1316088024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 140000004 (CA)
- Legal business name
- ALTA BATES SUMMIT MEDICAL CENTER
- Practice address
- 2450 Ashby Ave
Berkeley, CA 94705-2067 - Phone
- (510) 869-8244
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Robert Petrina
- Title
- Cfo
- Phone
- (510) 869-6899
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Pathology Institute
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 140000004 | CA | Yes |
Addresses
Primary practice location
2450 Ashby Ave
Berkeley, CA 94705-2067
Mailing address
350 Hawthorne Ave
Oakland, CA 94609-3108
Phone (510) 869-8244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR000305F | Medicaid | CA |
Other providers in Berkeley, CA
- Elliett Alomar
- Ellen M Alonso Street
- Arzelle Athene Alonzo-Agullana
- Lynne S Alper
- Alta Anatomic Pathology Medical Group
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center
- Alta CT Services a California Limited Partnership
- Alta East Bay Pathology, Inc.
- Altabates Comprehensive Cancer Center
All providers in Berkeley, CA · General Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.