Active NPI
Alta Bates Summit Medical Center
- General Acute Care Hospital
- Oakland, CA
National Provider Identifier
1720128556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- ALTA BATES SUMMIT MEDICAL CENTER
- Practice address
- 350 Hawthorne Ave
Oakland, CA 94609-3108 - Phone
- (510) 869-8244
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Trent Hunter
- Title
- VP Shared Services
- Phone
- (916) 297-8555
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 140000284 | CA | |
| General Acute Care Hospital | 282N00000X | CA | Primary |
Addresses
Primary practice location
350 Hawthorne Ave
Oakland, CA 94609-3108
Mailing address
PO Box 742920
Los Angeles, CA 90074-2920
Phone (855) 398-1633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP40043G | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
350 Hawthorne Ave
Fl 3
Oakland, CA 94609
Phone (650) 269-1892
350 Hawthorne Ave
Fl 1
Oakland, CA 94609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385942400000",
"number": "1720128556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742920",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900742920",
"telephone_number": "855-398-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HAWTHORNE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093108",
"telephone_number": "510-869-8244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTA BATES SUMMIT MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2013-12-02",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "TRENT",
"authorized_official_title_or_position": "VP SHARED SERVICES",
"authorized_official_telephone_number": "916-297-8555",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "140000284",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40043G",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center Adult Day Care
- Alta East Bay Pathology Inc
- Alta East Bay Pathology, Inc.
- Alta East Bay Pathology, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.