ALAMEDA HEALTH SYSTEM (NPI# 1235261652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235261652 |
| Entity Type | Organization |
| Organization Name | ALAMEDA HEALTH SYSTEM |
| Other Organization Name | FAIRMONT HOSPITAL |
| Practice Address |
15400 Foothill Blvd San Leandro CA 94578-1009 |
| Practice Telephone | 5108957230 |
| Practice Fax Number | 5108954231 |
| Mailing Telephone | 5108957344 |
| Mailing Fax Number | 5108957229 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2016-05-27 |
| Authorized Official Name | BERNADETTE JENSEN (VP OF REVENUE CYCLE) |
| Authorized Official Telephone | 5106182147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 140000046 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC70138F | 05 | |
| CA | HSP40320F | 05 | |
| CA | LTC06479G | 05 |
| Other Name | Type Code |
|---|---|
| FAIRMONT HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770784563 | Alameda Health System | Clinic/Center | 6066 Civiv Terrace Avenue, Newark, CA 94560-3756 | 2007-05-30 |
| 1104959089 | Alameda Health System | Clinic/Center | 6955 Foothill Blvd Suite 200, Oakland, CA 94605-2409 | 2007-03-13 |
| 1033241633 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2007-03-09 |
| 1932265204 | Alameda Health System | Pharmacy | 15400 Foothill Blvd Bldg E, San Leandro, CA 94578-1009 | 2006-12-29 |
| 1396764353 | Alameda Health System | General Acute Care Hospital | 1411 E 31st Street, Oakland, CA 94602 | 2006-07-19 |
| 1205324696 | Alameda Health System | Clinic/Center | 1411 E 31st St, Oakland, CA 94602-1018 | 2018-05-01 |
| 1891200820 | Alameda Health System | Psychiatric Hospital | 2060 Fairmont Dr, San Leandro, CA 94578-1001 | 2017-12-13 |
| 1083166144 | Alameda Health System | Clinic/Center | 6955 Foothill Blvd, Oakland, CA 94605-2455 | 2016-10-25 |
| 1508317264 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2016-10-18 |
| 1538610290 | Alameda Health System | Specialist | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2016-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Alameda Health System | 7677 Oakport Street 12th Floor, Oakland, CA 94621 |
| Street Address |
15400 FOOTHILL BLVD |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982705943 | Susan Annette Smiley | Occupational Therapist | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2006-09-25 |
| 1811508781 | Gina L Walker | Registered Nurse | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2020-08-13 |
| 1295209740 | Diana Lawton | Marriage & Family Therapist | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2019-01-17 |
| 1033682604 | Thomas Rooker | Social Worker | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2019-01-07 |
| 1558749440 | Alameda Health System | Clinic/Center | 15400 Foothill Blvd, San Leandro, CA 94578-3746 | 2015-05-11 |
| 1154761096 | Brandon Emmick Kopald | Clinical Neuropsychologist | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2013-06-25 |
| 1710254081 | Maricela Segura Martin | Registered Nurse | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2011-11-30 |
| 1528367695 | Jaineicia Marie Harris | Occupational Therapist | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2011-03-15 |
| 1306175088 | Amtul Ahmad | Pediatrics | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2009-12-09 |
| 1043543325 | Alameda County Medical Group | Clinic/Center | 15400 Foothill Blvd, San Leandro, CA 94578-1091 | 2009-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
| 1114577640 | Juana Care Facility | Assisted Living Facility | 389 Juana Ave, San Leandro, CA 94577-4810 | 2019-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588165 | Nana's Garden II | Assisted Living Facility | 25312 Ericson Way, Laguna Hills, CA 92653-5054 | 2020-11-03 |
| 1609476589 | Southbay Care Home, Inc. | Assisted Living Facility | 19917 Anza Avenue, Torrance, CA 90503-2005 | 2020-10-29 |
| 1821697434 | Global Regency Senior Care Services, LLC | Assisted Living Facility | 117 E 8th St, Long Beach, CA 90813-4397 | 2020-10-23 |
| 1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 2020-10-22 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1992304737 | West Lyons Lp | Assisted Living Facility | 24305 Lyons Ave, Newhall, CA 91321-2344 | 2020-10-22 |
| 1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
| 1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
| 1144829979 | Pacifica San Bernardino LLC | Assisted Living Facility | 1371 Parkside Dr, San Bernardino, CA 92404-5324 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.