Coast Guard Headquarters

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

344918 Issued in CA

Legal business name

COAST GUARD HEADQUARTERS

Practice address

1 Eagle Rd
BLDG #1
Alameda, CA 94501-5100

Phone

(510) 437-3582

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Eugenia San Luis Taberbero

Title

Register Nurse

Phone

(510) 437-3582

Specialties & licenses 1

Addresses

Other names 1

• ISC Alameda Medical Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Laine Kingsbury, TECHNICIANS

  • Independent Duty Medical Technicians
  • Alameda, CA
  • NPI 1770542664
  NPD (past)
• Eugenia San Luis Tabernero, RN

  • Registered Nurse
  • Alameda, CA
  • NPI 1780846089
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1487860656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 2ND STREET",
            "address_2": "SUITE 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20593",
            "telephone_number": "510-437-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EAGLE RD",
            "address_2": "BLDG #1",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015100",
            "telephone_number": "510-437-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST GUARD HEADQUARTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "TABERBERO",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_middle_name": "SAN LUIS",
        "authorized_official_title_or_position": "REGISTER NURSE",
        "authorized_official_telephone_number": "510-437-3582",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "344918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISC Alameda Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Robert Clark
• Michelle Olivette Clark, M.D.
• William Blackmore Claussen, DDS
• Arthur Clinton
• Jennifer Nayeli Cloer
• Codependency Psychotherapy Clinic
• Shannon L Coffee
• Esther Anne Cohen, PH.D.
• Jordan Y Cohen, M.D.
• Kimberly Cohn, LMFT, RDT-BCT

• Health Service Clinic/Center in Alameda, CA
• Providers in Alameda, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.