NPIMap

Organization Active NPI

Sutter Community Health

Doing business as Alta Bates Summit Perinatal Center

  • Clinic/Center
  • Oakland, CA
National Provider Identifier
1811021405
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
550000581 Issued in CA
Legal business name
SUTTER COMMUNITY HEALTH
Doing business as
Alta Bates Summit Perinatal Center
Sutter East Bay Women's Health Clinic
Practice address
350 30TH St
Ste 205
Oakland, CA 94609-3425
Phone
(510) 869-8425
Fax
(510) 506-7710
NPI assigned
Mar 15, 2007
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Angelyn ThomasNPI 1033225636
Title
Administrative Medical Director
Phone
(510) 869-8425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 550000581 CA Primary
Community Health Clinic/Center 261QC1500X 550000581 CA
Non-Surgical Family Planning Clinic/Center 261QF0050X 550000581 CA
Primary Care Clinic/Center 261QP2300X 550000581 CA
Clinical Medical Laboratory 291U00000X 05D0942632 CLP322959 CA
Clinic Pharmacy 3336C0002X DEA #FE0575122 CA
Clinic Pharmacy 3336C0002X BD OF PHARMACY #1822 CA

Addresses

Primary practice location

350 30TH St
Ste 205
Oakland, CA 94609-3425

Mailing address

350 30TH St Ste 205
Oakland, CA 94609-3425
Phone (510) 869-8425

Other practice location 1

350 30th St Ste 230
Oakland, CA 94609-3425
Phone (510) 869-8425

Other identifiers 2

IdentifierTypeStateIssuer
CMM71192FMedicaidCA
D585OtherCAMEDI-CAL PRESUMPTIVE ELIG

Other names 2

  • Alta Bates Summit Perinatal Center Doing business as
  • Sutter East Bay Women's Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081118000484 CA Part B Supplier - Clinic/Group Practice 2961562160 Receives reassigned benefits from 17 practitioners
Practice locations: Oakland, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0942636Sutter East Bay Women's Health Clinic350 30TH St, Oakland, CA 94609Provider-performed microscopyMay 22, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

350 30th St
Ste 230
Oakland, CA 94609
Phone (510) 869-8425

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1811021405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 30TH ST STE 205",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093425",
            "telephone_number": "510-869-8425",
            "fax_number": "510-506-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 30TH ST",
            "address_2": "STE 205",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093425",
            "telephone_number": "510-869-8425",
            "fax_number": "510-506-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 30th St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093425",
            "country_code": "US",
            "telephone_number": "510-869-8425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUTTER COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANGELYN",
        "authorized_official_title_or_position": "ADMINISTRATIVE MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "510-869-8425"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "550000581",
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "550000581",
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "CA",
            "license": "550000581",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "550000581",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0942632 CLP322959",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "DEA #FE0575122",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "BD OF PHARMACY #1822",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM71192F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PRESUMPTIVE ELIG",
            "identifier": "D585",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Bates Summit Perinatal Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sutter East Bay Women's Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.