Altabates Comprehensive Cancer Center

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

788303 Issued in CA

Legal business name

ALTABATES COMPREHENSIVE CANCER CENTER

Practice address

2001 Dwight Way
Berkeley, CA 94704-2608

Phone

(510) 204-1591

NPI assigned

Jul 17, 2014

Last updated

Jul 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica M McCoy, RNNPI 1437568854

Title

Nurse Case Manager

Phone

(510) 204-1591

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jessica McCoy

  • Registered Nurse
  • Oakland, CA
  • NPI 1437568854
  NPD (past) Authorized official

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1821405192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 JEFFERSON ST",
            "address_2": "APT #301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073552",
            "telephone_number": "415-786-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 DWIGHT WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042608",
            "telephone_number": "510-204-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTABATES COMPREHENSIVE CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE CASE MANAGER",
        "authorized_official_telephone_number": "510-204-1591",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "CA",
            "license": "788303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alta Bates Summit Medical Center
• Alta Bates Summit Medical Center
• Alta Bates Summit Medical Center
• Alta CT Services a California Limited Partnership
• Alta East Bay Pathology, Inc.
• Dante Altamirano, AMFT
• Margaret G Alter, PHD,MFT
• Alternative Legal and Psychological Services (Alternative Legal & Mental Health Services)
• Christian Autumn Autumn Alvarez
• Ricardo Alvarez

• Oncology Clinic/Center in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Oncology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.