Alameda Health System
Organization Active NPI Federally Qualified Health Center (FQHC) · Newark, CA
NPI 1497956288 · NPPES record last updated May 27, 2016
Key facts
- NPI
- 1497956288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- EXEMPT UNDER 12-35B (CA)
- Legal business name
- ALAMEDA HEALTH SYSTEM
- Practice address
- 6066 Civic Terrace Ave
Newark, CA 94560-3746 - Phone
- (510) 505-1600
- Fax
- (510) 494-7210
- NPI assigned
- May 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Bernadette Jensen
- Title
- VP of Revenue Cycle
- Phone
- (510) 618-2147
Other NPIs on the same Medicare enrollment 12
Practitioners 951
-
Shahram Aarabi, MD
-
Jorge Aceves, M.D.
-
Margaret Rose Adams McCormack, CNM, WHNP
-
Oluwayemisi Love Adejumo, M.D.
-
Edris M Afzali, M.D.
-
Archana Aggarwal, M.D.
-
Harsh Agrawal, M.D
-
Priya Agrawal, DO
-
Salman Ahmad, MD
-
Anil Akoon, M.D.
-
Mujtaba Ali, M.D.
-
Sarvenaz Alibeigi, M.D.
-
Stephen C Allison, M.D.
-
Basil Alwattar, M.D.
-
Erin Huiras Amerson, M.D.
-
Erik Sorem Anderson, M.D.
-
Elizabeth Leigh Andrews, PA-C
-
Maki Aoki, MD, ND
-
Indulatha Aramandla, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Federally qualified health center certification: CCN 751836
- Legal name
- ALAMEDA HEALTH SYSTEM
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 23, 2015
- Last certification
- Dec 23, 2015
- Ownership / control type
- Non-profit – corporation
- Organization structure
- Other · Non-profit
- Incorporated
- in CA
- Enrollment address
- 6066 Civic Terrace Ave
Newark, CA 94560-3746
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Frederick J Devries |
Corporate Officer | Oct 8, 2013 | |
| Corporate Director | Oct 8, 2013 | ||
| David W Cox |
Corporate Officer |
Jul 14, 2014 | |
| Corporate Director |
Jul 14, 2014 | ||
| W-2 Managing Employee |
Jul 14, 2014 | ||
| Maria G Hernandez |
Corporate Director | Sep 9, 2014 | |
| Anthony B Varni |
Corporate Director | Mar 26, 2013 | |
| Tracy Jensen |
Corporate Director | Sep 9, 2014 | |
| James Lugannani |
Corporate Director | May 13, 2014 | |
| John T Chapman |
Corporate Officer |
Dec 5, 2011 | |
| W-2 Managing Employee |
Dec 5, 2011 | ||
| Barooyr F Zorthian |
Corporate Director | Feb 1, 2011 | |
| James E Jackson |
Corporate Officer | May 14, 2012 | |
| W-2 Managing Employee | May 14, 2012 | ||
| Kirk E Miller |
Corporate Director | Dec 19, 2006 | |
| Kinkini Banerjee |
Corporate Director | Oct 8, 2013 | |
| Shari Johnson |
W-2 Managing Employee |
Nov 1, 2024 | |
| Michele Lawrence |
Corporate Director | Nov 20, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031110000764 | CA | Part B Supplier - Clinic/Group Practice | 3779494521 |
Receives reassigned benefits from 973 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alameda, CA; Castro Valley, CA; Hayward, CA; Newark, CA; Oakland, CA; San Leandro, CA |
| O20160119002180 | CA | Part a Provider - Federally Qualified Health Center (FQHC) | 3779494521 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newark, CA |
National Provider Directory
Locations
2111 Whitehall Pl
Ste D
Alameda, CA 94501
Phone (510) 535-6957
2060 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 346-1300
15400 Foothill Blvd
Ste H
Castro Valley, CA 94578
Phone (510) 895-4200
224 W Winton Ave
Hayward, CA 94544
Phone (510) 535-6957
24100 Amador St
Ste 250
Hayward, CA 94544
Phone (510) 266-1700
224 W Winton Ave
#113
Hayward, CA 94544
Phone (510) 881-6580
1411 E 31st St
Fl 1
Oakland, CA 94602
Phone (510) 545-2765
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | EXEMPT UNDER 12-35B | CA | Yes |
Addresses
Primary practice location
6066 Civic Terrace Ave
Newark, CA 94560-3746
Mailing address
15400 Foothill Blvd
BLDG E
San Leandro, CA 94578-1009
Phone (510) 895-7344
Other names
- NEWARK HEALTH CENTER
Other providers in Newark, CA
- Katherine Aguirre Romero
- Arthur Agustin
- Jeanette Makahilahila Ahkoi
- Preeti Ahlawat
- Hilla Akbar
- Alameda Health System
- Alameda Health System
- Alameda Health System
- Alameda Health System
- Jaqueline Alarcon Carbajal
All providers in Newark, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.