Organization Active NPI

Alta Bates Summit Medical Center

  • General Acute Care Hospital
  • Oakland, CA
National Provider Identifier
1720128556
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
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

Updated by the provider on Dec 2, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HSP40043GMedicaidCA

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.