NPIMap

Organization Active NPI

Alameda Health System

Doing business as Aids Waiver Case Management

  • Case Manager/Care Coordinator
  • San Leandro, CA
National Provider Identifier
1669595906
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ALAMEDA HEALTH SYSTEM
Doing business as
Aids Waiver Case Management
Practice address
15400 Foothill Blvd
BLDG E
San Leandro, CA 94578-1009
Phone
(510) 895-7230
Fax
(510) 895-4231
NPI assigned
Apr 10, 2007
Last updated
May 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Bernadette Jensen
Title
VP of Revenue Cycle
Phone
(510) 618-2147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

15400 Foothill Blvd
BLDG E
San Leandro, CA 94578-1009

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
AYD000110MedicaidCA

Other names 1

  • Aids Waiver Case Management Doing business as

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

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1669595906",
    "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": "15400 FOOTHILL BLVD",
            "address_2": "BLDG E",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781009",
            "telephone_number": "510-895-7230",
            "fax_number": "510-895-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "510-618-2147"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AYD000110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aids Waiver Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.