Alta Bates Summit Medical Center Adult Day Care

Organization Active NPI Adult Day Care Clinic/Center · Oakland, CA

NPI 1962554873 · NPPES record last updated Apr 21, 2016

Key facts

NPI
1962554873
Entity type
Organization (NPI type 2)
Primary specialty
Adult Day Care Clinic/Center 261QA0600X
Legal business name
ALTA BATES SUMMIT MEDICAL CENTER ADULT DAY CARE
Practice address
350 Hawthorne Ave
Oakland, CA 94609-3108
Phone
(510) 204-4444
NPI assigned
Jan 18, 2007
Organization subpart
No

Authorized official

Name
John Gates
Title
Cfo Shba
Phone
(510) 450-7357

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
Pathology Institute (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Yes

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

IdentifierTypeStateIssuer
ADU70083GMedicaidCA

Other providers in Oakland, CA

All providers in Oakland, CA · Adult Day Care Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.