NPIMap

Organization Active NPI

Alameda Health System

Doing business as Alameda Hospital

  • General Acute Care Hospital
  • Alameda, CA
National Provider Identifier
1831529049
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
140000002 Issued in CA
Legal business name
ALAMEDA HEALTH SYSTEM
Doing business as
Alameda Hospital
Practice address
2070 Clinton Ave
Alameda, CA 94501-4399
Phone
(510) 522-3700
Fax
(510) 437-4943
NPI assigned
Nov 25, 2013
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Shari Johnson
Title
VP of Revenue Cycle
Phone
(510) 407-2869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 140000002 CA Primary

Addresses

Primary practice location

2070 Clinton Ave
Alameda, CA 94501-4399

Mailing address

15400 Foothill Blvd
San Leandro, CA 94578-1009
Phone (510) 895-7344

Other names 1

  • Alameda Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140501001408 CA Part A Provider - Hospital 3779494521 Practice locations: Alameda, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831529049. Details of each certification follow.

Hospital certification: CCN 050211

Legal name
ALAMEDA HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 9, 2013
Beds
145
Ownership / control type
Hospital district or authority
Most recent change of ownership
May 1, 2014 (2 total)
Organization structure
OtherNon-profit
Enrollment address
2070 Clinton Ave
Alameda, CA 94501-4399
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Alameda HospitalCCN 050211 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Alameda Health Center39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alameda Health System Organization, Oakland, CA Other May 1, 2014 100%
Luis Fonseca Individual Corporate OfficerCoo Jul 1, 2016
Operational/Managerial ControlCoo Mar 23, 2020
Delvecchio S Finley Individual Corporate OfficerCeo Aug 31, 2015
Shari Johnson Individual W-2 Managing EmployeeAd; May 28, 2024
Deborah Stebbins Individual W-2 Managing EmployeeHospital Administrator Feb 28, 2014

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
John George Psychiatric HospitalSan Leandro, CA, CCN 05S320 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1998
San Leandro Hospital Rehabilitation UnitSan Leandro, CA, CCN 05T320 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1998
Fairmont HospitalSan Leandro, CA, CCN 056479 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1998
Hayward Wellness CenterHayward, CA, CCN 751807 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Sep 18, 1998

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 334

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 334

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1831529049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 FOOTHILL BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781009",
            "telephone_number": "510-895-7344",
            "fax_number": "510-895-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 CLINTON AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014399",
            "telephone_number": "510-522-3700",
            "fax_number": "510-437-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "510-407-2869"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "140000002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alameda Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alameda Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.