EDEN MEDICAL CENTER


Address: 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305
Phone: 5105371234

EDEN MEDICAL CENTER (NPI# 1134122179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134122179
Entity Type Organization
Organization Name EDEN MEDICAL CENTER
Practice Address 20103 Lake Chabot Rd
Castro Valley
CA 94546-5305
Mailing Address Po Box 748373
Los Angeles
CA 90074-8373
Practice Telephone 5105371234
Practice Fax Number 5108896506
Mailing Telephone 8553981633
Mailing Fax Number 5108696592
Enumeration Date 2005-05-23
Last Update Date 2013-12-02
Authorized Official Name MR. BRIAN TRENT HUNTER (VP SHARED SERVICES)
Authorized Official Telephone 9162978555
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital 140000030 CA Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
CA HSC00488G 05
CA ZZR00488G 05
CA HSP40488G 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548536006 Eden Medical Center General Acute Care Hospital 13855 E 14th St, San Leandro, CA 94578-2611 2012-03-29
1538106265 Eden Medical Center Psychiatric Unit 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2006-06-01
1457317034 Eden Medical Center General Acute Care Hospital 13855 E 14th St, San Leandro, CA 94578-2611 2006-04-24

Office Location

Street Address 20103 LAKE CHABOT RD
City CASTRO VALLEY
State CA
Zip Code 94546-5305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902412430 Kenneth A Harris Registered Nurse 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2020-09-21
1417568916 Michael A Esparza Md Inc Surgery 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2020-08-10
1417596289 Linda Ann Scott-hickman Pharmacist 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2019-12-27
1821598418 Alyan Ali, M.d., Inc. Internal Medicine 20103 Lake Chabot Rd, Castro Valley, CA 94546 2018-02-20
1508374489 David C Bonovich Md Psychiatry & Neurology 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2018-01-13
1922511278 Lisa Gaye Quan Registered Nurse 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2017-11-08
1114439593 David Paul Rathmann Speech-Language Pathologist 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2017-10-25
1205378668 Jacqueline Margolese Nurse Practitioner 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2016-11-15
1386098309 Travis Sunlum Lee Internal Medicine 20103 Lake Chabot Rd, Castro Valley, CA 94546 2016-04-15
1124480157 Faruqa Shariff Ladha Pediatrics 20103 Lake Chabot Rd, Eden Medical Center, Castro Valley, CA 94546-5305 2016-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861991234 For Your Eyes Only Ophthalmic Medical Corp. Optometrist 2687 Castro Valley Blvd., Castro Valley, CA 94546 2018-02-12
1821536954 Webster Surgery Center, Lp Clinic/Center 20998 Redwood Dr, Castro Valley, CA 94546 2017-02-09
1639506215 Jennifer Lee Pharmacist 20629 Redwood Road, Castro Valley, CA 94546 2013-09-27
1679860506 Lauren Nicole Hill Counselor 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 2011-06-29
1326330952 Jeannette Villalobos Counselor 5248 Crane Avenue, Castro Valley, CA 94546 2011-05-16
1780992560 Cherie Christine-vivona Clark Physician Assistant Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 2010-09-15
1518287218 Rite Aid Incorporation Community/Behavioral Health 3548 Castro Valley Blv, Castro Valley, CA 94546 2010-06-03
1770719940 Kristina Marie Sotto Occupational Therapist 20259 Lake Chabot Road, Castro Valley, CA 94546 2009-06-02
1861664203 Bannanje R Nayak Physical Medicine & Rehabilitation 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 2008-03-26
1205030202 Yvonne Marie Jones Social Worker 2055 Fairmont Dr., San Leandro, CA 94546 2007-06-13
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972915817 Indiana University General Acute Care Hospital 19100 Crest Ave, Apt 88, Castro Valley, CA 94546-8661 2014-05-27
1063812907 Sutter Bay Hospitals General Acute Care Hospital 20103 Lake Chabot Road, Castro Valley, CA 94546-5305 2014-08-28
1821351016 Sutter Medical Center Castro Valley General Acute Care Hospital 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2012-06-21
1265680045 Laurel Grove Acute Hospital General Acute Care Hospital 19933 Lake Chabot Rd, Castro Valley, CA 94546-4003 2008-09-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437763224 Mola Medical Practice Inc General Acute Care Hospital 6906 Treasure Trl, Los Angeles, CA 90068-1838 2020-08-31
1497376966 Barton Ambulatory Clinics General Acute Care Hospital 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 2020-05-06
1346723194 Eisenhower Medical Center General Acute Care Hospital 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 2018-09-07
1699282285 Kern County Hospital Authority General Acute Care Hospital 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 2018-01-04
1598272577 Eisenhower Medical Center General Acute Care Hospital 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 2017-12-29
1720597511 Children's Recovery Center 1, LLC General Acute Care Hospital 3777 S Bascom Ave, Campbell, CA 95008-7320 2017-09-25
1336668284 Kern County Hospital Authority General Acute Care Hospital 2920 F St Ste B1, Bakersfield, CA 93301-1829 2017-09-12
1821524315 Azadeh Salek General Acute Care Hospital 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 2017-05-03
1790210359 Va Hospital Mather General Acute Care Hospital 3131 Sparrow Dr, Sacramento, CA 95834-2639 2017-04-20
1881127041 Chad William Downing General Acute Care Hospital 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 2017-04-05
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Competitor

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City CASTRO VALLEY
Zip Code 94546

Improve Information

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Dataset Information

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.

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