NPIMap

Organization Active NPI

Alameda County Public Health Laboratory

  • Clinical Medical Laboratory
  • Oakland, CA
National Provider Identifier
1487876116
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ALAMEDA COUNTY PUBLIC HEALTH LABORATORY
Practice address
2901 Peralta Oaks CT
Room 206
Oakland, CA 94605-5319
Phone
(510) 382-4300
Fax
(510) 382-4333
NPI assigned
May 3, 2007
Last updated
Oct 27, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF ALAMEDA DEPT. OF PUBLIC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Dr. Mark William Pandori, PHD
Title
Director, Laboratory Services
Phone
(510) 382-4300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D0601931 CA
Clinical Medical Laboratory 291U00000X CA Primary

Addresses

Primary practice location

2901 Peralta Oaks CT
Room 206
Oakland, CA 94605-5319

Mailing address

2901 Peralta Oaks CT
Room 206
Oakland, CA 94605-5319
Phone (510) 382-4300

Other identifiers 1

IdentifierTypeStateIssuer
05D2090025OtherCACLIA ID NUMBER

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2090025Alameda County Public Health2901 Peralta Oaks CT, 2ND FL, Oakland, CA 94605ComplianceOct 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Central Oakland Communi59 organizations share this tax ID, including this one
Part of
Central Oakland Communi

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2901 Peralta Oaks Ct
Rm 206
Oakland, CA 94605
Phone (510) 382-4300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1487876116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 PERALTA OAKS CT",
            "address_2": "ROOM 206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055319",
            "telephone_number": "510-382-4300",
            "fax_number": "510-382-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 PERALTA OAKS CT",
            "address_2": "ROOM 206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055319",
            "telephone_number": "510-382-4300",
            "fax_number": "510-382-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA COUNTY PUBLIC HEALTH LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF ALAMEDA DEPT. OF PUBLIC HEALTH",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "PANDORI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR, LABORATORY SERVICES",
        "authorized_official_telephone_number": "510-382-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0601931",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "05D2090025",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.