NPIMap

Organization Active NPI

Alameda Health System

Doing business as Highland General Hospital

  • General Acute Care Hospital
  • Oakland, CA
National Provider Identifier
1396764353
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
140000046 Issued in CA
Legal business name
ALAMEDA HEALTH SYSTEM
Doing business as
Highland General Hospital
Practice address
1411 E 31St Street
Oakland, CA 94602
Phone
(510) 437-4800
Fax
(510) 895-7229
NPI assigned
Jul 19, 2006
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Shari Johnson
Title
VP Revenue Cycle
Phone
(510) 895-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 140000046 CA Primary

Addresses

Primary practice location

1411 E 31St Street
Oakland, CA 94602

Mailing address

1411 E 31St Street
Oakland, CA 94602
Phone (510) 437-4800

Other identifiers 2

IdentifierTypeStateIssuer
HSC00320FMedicaidCAACUTE
HSC00320WMedicaidCAACUTE

Other names 1

  • HIGHLAND GENERAL HOSPITAL Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030726000001 CA Part A Provider - Hospital 3779494521 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Leandro, CA; Oakland, CA
O20070212000345 CA Part A Provider - Hospital 3779494521 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Leandro, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1396764353. Details of each certification follow.

Hospital certification: CCN 050320

Legal name
ALAMEDA HEALTH SYSTEM
Doing business as
HIGHLAND HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 25, 2019
Beds
613
Ownership / control type
Hospital district or authority
Most recent change of ownership
Jul 1, 1998 (1 total)
Organization structure
OtherProprietary
Enrollment address
1411 E 31St St
Oakland, CA 94602-1018
Other Hospital Practice Location
Hospital subgroups
General

Hospital certification: CCN 05S320

Legal name
ALAMEDA HEALTH SYSTEM
Doing business as
JOHN GEORGE PSYCHIATRIC HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
2060 Fairmont Dr
San Leandro, CA 94578-1001
Other Hospital Practice Location
Hospital subgroups
Psychiatric

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

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Highland HospitalCCN 050320 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Ghassan Jamaleddine Individual Corporate DirectorCmo Mar 1, 2018
Luis Fonseca Individual Corporate OfficerChief Operatiing Officer Jul 1, 2016
Margaret Loomis Individual W-2 Managing EmployeeDir of Physician Revenue Jun 27, 2011
Corporate Director Jan 1, 2024
W-2 Managing EmployeeAd;Director of Revenue Cycle Jun 27, 2011
Delvecchio S Finley Individual Corporate OfficerCeo Aug 31, 2015
Alameda Health System Organization, San Leandro, CA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1998 100%
Karyn Tribble Individual Corporate OfficerCao, Behavioral Health Services Feb 13, 2017

Owners & managing parties with NPI records 11

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

Practitioners & affiliated clinicians

Practitioners 141

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 141

Affiliated clinicians 635

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

View all 635

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1396764353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 E 31ST STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94602",
            "telephone_number": "510-437-4800",
            "fax_number": "510-895-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E 31ST STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94602",
            "telephone_number": "510-437-4800",
            "fax_number": "510-895-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "510-895-7220"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "140000046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "ACUTE",
            "identifier": "HSC00320F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "ACUTE",
            "identifier": "HSC00320W",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGHLAND GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HIGHLAND GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.