Eden Medical Center/San Leandro Hospital Campus

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

EDEN MEDICAL CENTER/SAN LEANDRO HOSPITAL CAMPUS

Practice address

14207 E 14TH St
San Leandro, CA 94578-2709

Phone

(510) 357-6500

Fax

(510) 297-5476

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ronnie Bayduza

Title

Administrator

Phone

(510) 667-4511

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• San Leandro Hospital Doing business as

Tax ID family

Eden Medical Centersan Leandro Hospital Campus4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Baywood Court Skilled Nursing Facility

  • Skilled Nursing Facility
  • Castro Valley, CA
  • NPI 1699720862
  NPD tax ID
• Laurel Grove Acute Hospital

  • General Acute Care Hospital
  • Castro Valley, CA
  • NPI 1265680045
  NPD tax ID
• Laurel Grove Hospital-Rehab Unit

  • Rehabilitation Hospital Unit
  • Castro Valley, CA
  • NPI 1447297171
  NPD tax ID

Locations

Practitioners 348

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

• Nabil Karim Abudayeh, MD

  • Internal Medicine Physician
  • Castro Valley, CA
  • NPI 1699724484
  NPD (past)
• Peter Adamczyk, M.D.

  • Neurology Physician
  • Castro Valley, CA
  • NPI 1689710915
  NPD (past)
• Adedotun A Adewusi, MD

  • Hospitalist Physician
  • Antioch, CA
  • NPI 1679795280
  NPD (past)
• Sonal Jain Advani, MD

  • Internal Medicine Physician
  • Danville, CA
  • NPI 1861681447
  NPD (past)
• Neha Agarwal, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1013379551
  NPD (past)
• Archana Aggarwal, M.D.

  • Nephrology Physician
  • Castro Valley 94546, CA
  • NPI 1326024084
  NPD (past)
• Maria Ait Rais, M.D.

  • Hospitalist Physician
  • Castro Valley, CA
  • NPI 1811239304
  NPD (past)
• Haseeb Ibrahim Al-Mufti, M.D.

  • Nephrology Physician
  • San Leandro, CA
  • NPI 1649223017
  NPD (past)
• Kathy Alcid, O.D.

  • Optometrist
  • San Leandro, CA
  • NPI 1093199606
  NPD (past)
• Zulfiqar Ali, M.D

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1093740227
  NPD (past)
• Satya B Allaparthi, MD

  • Gastroenterology Physician
  • Castro Valley, CA
  • NPI 1699960815
  NPD (past)
• Daniel Bradley Allen, MD

  • Plastic and Reconstructive Surgery Physician
  • San Leandro, CA
  • NPI 1063523819
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1679523633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 60000, FILE 74500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941600001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14207 E 14TH ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782709",
            "telephone_number": "510-357-6500",
            "fax_number": "510-297-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN MEDICAL CENTER/SAN LEANDRO HOSPITAL CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "BAYDUZA",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-667-4511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40264I",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2082793",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZA0118Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Leandro Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Gwendolyn Eddy, LCSW
• Louis Martin Edelson, M.D.
• Eden Adult Community Support Center
• Eden Medical Center
• Eden Medical Center
• Eden Medical Transportation
• Ijeoma Vivian Edet
• Brittney Karfaira Edmondson
• Blake Joshua Edmunds
• Kathleen Edmunds1

• All providers in San Leandro, CA
• Rehabilitation Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.