NPIMap

Organization Active NPI

Alameda Health System

Doing business as Alameda Hospital DP SNF

  • Skilled Nursing Facility
  • Alameda, CA
National Provider Identifier
1396176160
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ALAMEDA HEALTH SYSTEM
Doing business as
Alameda Hospital DP SNF
Practice address
2070 Clinton Ave
Alameda, CA 94501-4399
Phone
(510) 522-3700
Fax
(510) 437-4943
NPI assigned
Dec 4, 2013
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2070 Clinton Ave
Alameda, CA 94501-4399

Mailing address

15400 Foothill Blvd
San Leandro, CA 94578-1009
Phone (510) 895-7344

Other names 1

  • Alameda Hospital DP SNF Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140501002165 CA Part A Provider - Skilled Nursing Facility 3779494521 Practice locations: Alameda, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396176160. Details of each certification follow.

Skilled nursing facility certification: CCN 555381

Legal name
ALAMEDA HEALTH SYSTEM
Doing business as
ALAMEDA HOSPITAL SNF
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 7, 1989
Last certification
Sep 19, 2024
Beds
181
Ownership / control type
County
Multi-facility organization
Alameda Health System
Most recent change of ownership
May 1, 2014
Organization structure
OtherNon-profit
Enrollment address
2070 Clinton Ave
Alameda, CA 94501-4399
Nursing home name
ALAMEDA HOSPITAL D/P SNF

Other NPIs with the same Medicare PAC ID 10

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alameda Hospital D/P SNFCCN 555381 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Jun 7, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
181170.2 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ambulatory Care Service39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

2401 Blanding Ave
Alameda, CA 94501
Phone (510) 340-9196

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
William S Lowery Individual Corporate OfficerCao Jan 1, 2019
Adp of the SNF Feb 28, 2025
Delvecchio S Finley Individual Corporate OfficerCeo Aug 31, 2015
Shari Johnson Individual Corporate OfficerVice President Jan 20, 2025
Corporate DirectorVice President Jan 20, 2025
Operational/Managerial Control Jan 20, 2024
Direct Ownership Interest Jan 20, 2025
Alameda Health System Organization, Oakland, CA Non-profit Operational/Managerial Control May 1, 2014
Trustee of the SNF May 1, 2014
Adp of the SNF Jan 28, 2025
Naini Sharma Individual Corporate DirectorMedical Director Jan 1, 2019
Adp of the SNF Feb 28, 2025

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 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.

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1396176160",
    "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": "945781009",
            "telephone_number": "510-895-7344",
            "fax_number": "510-895-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 CLINTON AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014399",
            "telephone_number": "510-522-3700",
            "fax_number": "510-437-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "510-407-2869"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alameda Hospital DP SNF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alameda Hospital DP SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.