CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND (NPI# 1003961251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003961251 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND |
| Other Organization Name | CHILDREN'S HOSP MED CTR OF NO CALIFORNIA |
| Practice Address |
747 52nd St Oakland CA 94609-1809 |
| Mailing Address |
Po Box 742403 Los Angeles CA 90074-2403 |
| Practice Telephone | 5104283885 |
| Practice Fax Number | 5104283840 |
| Mailing Telephone | 5104283885 |
| Mailing Fax Number | 5104283840 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2016-04-29 |
| Authorized Official Name | MS. COLLEEN REID (CONTROLLER) |
| Authorized Official Telephone | 5104283467 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 140000015 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR00611F | 05 | |
| CA | FHC80242F | 05 | |
| CA | PTAN | 053301 | 01 |
| CA | HSC00611F | 05 | |
| CA | HSP40611F | 05 |
| Other Name | Type Code |
|---|---|
| Children's Hosp Med Ctr of No California | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619177300 | Children's Hospital & Research Center At Oakland | Clinic/Center | 770 53rd St, Oakland, CA 94609 | 2007-07-20 |
| 1255691036 | Children's Hospital & Research Center At Oakland | Clinic/Center | 5275 Claremont Ave, Oakland, CA 94609 | 2012-05-25 |
| 1689867038 | Children's Hospital & Research Center At Oakland | Psychiatric Unit | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2007-08-20 |
| 1710177803 | Children's Hospital & Research Center At Oakland | Clinic/Center | 5275 Claremont Ave., Oakland, CA 94609 | 2007-07-26 |
| 1295934990 | Children's Hospital & Research Center At Oakland | Clinic/Center | 312 Clay St, Oakland, CA 94607 | 2007-07-12 |
| Street Address |
747 52ND ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200928 | James Philip Riddel Jr. | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2005-07-29 |
| 1235739905 | Maria Elena Alicia Valdivia Fortuna | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-10-30 |
| 1295342707 | Jenny Chen | Dietitian, Registered | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-29 |
| 1104433028 | Phuong T Nguyen-tran | Pharmacist | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-24 |
| 1114538899 | Ji Yun Lee | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-14 |
| 1780295857 | Luis Alonso Perez Jr. | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-12 |
| 1255941803 | Aleesia Renta-ramirez | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-07 |
| 1831709773 | Carroll Taylor Brown IIi | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-05 |
| 1053921064 | Jessica Stankiewicz Lightcap | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-04 |
| 1184242307 | Cecilia Fairley | Genetic Counselor, MS | 747 52nd St, Oakland, CA 94609-1809 | 2020-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891242681 | Anna Sarukhanov | General Acute Care Hospital | 600 William St Apt 224, Oakland, CA 94612-5407 | 2016-09-08 |
| 1528340700 | On-call Therapists Inc | General Acute Care Hospital | 7700 Edgewater Dr #801, Oakland, CA 94621-3024 | 2011-09-14 |
| 1396764353 | Alameda Health System | General Acute Care Hospital | 1411 E 31st Street, Oakland, CA 94602 | 2006-07-19 |
| 1356341499 | Garrett County Memorial Hospital | General Acute Care Hospital | 251 N Fourth St, Oakland, MD 21550-1375 | 2005-07-29 |
| 1164047734 | Garrett County Memorial Hospital | General Acute Care Hospital | 251 N 4th St, Oakland, MD 21550-1375 | 2020-06-10 |
| 1649720954 | Alta Bates Summit Medical Center | General Acute Care Hospital | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2016-10-11 |
| 1578934774 | Highland Hospital Oral and Maxillofacial Surgery | General Acute Care Hospital | 1411 E 31st St, Oakland, CA 94602-1018 | 2015-10-13 |
| 1275922866 | The Permanente Medical Group | General Acute Care Hospital | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2015-01-20 |
| 1588061378 | First Surgical Consultants | General Acute Care Hospital | 365 Hawthorne Ave, 101, Oakland, CA 94609-3107 | 2014-11-24 |
| 1437582400 | Highland Hospital | General Acute Care Hospital | 1411 E 31st St, Oakland, CA 94602-1018 | 2013-08-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.