NPIMap

Organization Active NPI

University Healthcare Alliance

  • Cardiovascular Disease Physician
  • Oakland, CA
National Provider Identifier
1720595564
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
UNIVERSITY HEALTHCARE ALLIANCE
Practice address
388 9TH St Ste 250
Oakland, CA 94607-4294
Phone
(510) 571-0133
NPI assigned
Jan 2, 2018
Last updated
Jan 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Kristine Ruslen
Title
Director of Reimbursement
Phone
(510) 974-8297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

388 9TH St Ste 250
Oakland, CA 94607-4294

Mailing address

PO Box 742244
Los Angeles, CA 90074-2244
Phone (510) 974-8258

Other names 1

  • CCMG Other name

National Provider Directory

National Provider Directory
Tax ID family
University Healthcare Alliance26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1720595564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742244",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742244",
            "telephone_number": "510-974-8258",
            "fax_number": "510-974-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 9TH ST STE 250",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074294",
            "telephone_number": "510-571-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTHCARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "RUSLEN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "510-974-8297"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCMG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 2, 2018; 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.