USCG (NPI# 1326100827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326100827 |
Entity Type | Organization |
Organization Name | USCG |
Practice Address |
1 Eagle Rd Alameda CA 94501-5100 |
Practice Telephone | 5104077797 |
Mailing Telephone | 5104373582 |
Enumeration Date | 2006-12-14 |
Last Update Date | 2020-08-22 |
Authorized Official Name | BROOKE ASHLEY YOUNG (HEALTH SERVICE TECH) |
Authorized Official Telephone | 5104373582 |
Authorized Official Credential | LAB TECH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205957982 | Uscg | Clinic/Center | 5439 A Lemay Ave., Buzzards Bay, MA 02542 | 2007-04-02 |
1710028048 | Uscg | Clinic/Center | 10569 Lake Breeze Dr, Seminole, FL 33772-4333 | 2007-02-09 |
1396846739 | Uscg | Preferred Provider Organization | Uscg Atc Mobile, 8501 Tanner Williams Road, Mobile, AL 36608 | 2006-09-26 |
1801087580 | Uscg | Community Based Residential Treatment Facility, Mental Illness | 427 Commercial St, Boston, MA 02109-1027 | 2007-08-07 |
1316001076 | Uscg | Technician, Other | 1 Munro Ave, Medical, Cape May, NJ 08204-5000 | 2006-12-20 |
1598778623 | Uscg | Clinic/Center | 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 | 2006-08-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | USCG ENTERPRISES CORP. | 8 Manor Road, Smithtown, Ny 11787 |
System for Award Management (SAM) Entities | USCG FINANCE CENTER CUSTOMER SERVICE | 1430a Kristina Way, Chesapeake, VA 23326-1000 |
New York State Corporations | USCG GREEN LLC | 180 Phillips Hill Rd., Ste 3a, New City, Ny 10956 |
System for Award Management (SAM) Entities | USCG MWR AIR STATION CAPE COD | 5205 Ent St Bldg 5205, Buzzards Bay, MA 02542-1212 |
System for Award Management (SAM) Entities | USCG TRACEN PETALUMA MWR CABLE | 599 Tomales Rd, Petaluma, CA 94952-5002 |
Washington State Corporations | USCG, INC. | 1550 Railroad Ave, Bellingham, WA 98225 |
Washington State Corporations | USCG-11 / TIBURON / USCG 83366 FOUNDATION | 36824 Se 191st St, Maple Valley, WA 98038 |
Street Address |
1 EAGLE RD |
City | ALAMEDA |
State | CA |
Zip Code | 94501-5100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063506137 | Derek Sanchez | Technician, Other | 1 Eagle Rd, Health Service Division, Alameda, CA 94501-5100 | 2006-10-03 |
1821603630 | Denise Lorraine Funke | Dental Hygienist | 1 Eagle Rd, Alameda, CA 94501-5100 | 2020-09-09 |
1023653672 | Maxwell Kaczmarek | Physician Assistant | 1 Eagle Rd, Alameda, CA 94501-5100 | 2019-11-07 |
1033625272 | Meridith A Palo | Physician Assistant | 1 Eagle Rd, Alameda, CA 94501-5100 | 2017-12-26 |
1437449816 | Susan Elissa Parrish | Physician Assistant | 1 Eagle Rd, U.S. Coast Guard Base Alameda Clinic, Alameda, CA 94501-5100 | 2011-04-19 |
1558680983 | Chelsey Rheyann K Fernandez | Military Health Care Provider | 1 Eagle Rd, Alameda, CA 94501-5100 | 2010-05-25 |
1174857122 | Megan Ann Lynch | Military Health Care Provider | 1 Eagle Rd, Alameda, CA 94501-5100 | 2009-09-23 |
1275769994 | Everett Vincent Linn | Specialist/Technologist, Other | 1 Eagle Rd, Alameda, CA 94501 | 2009-06-09 |
1407080096 | Robyn May Faught | Technician, Other | 1 Eagle Rd, Health Service Department, Alameda, CA 94501-5100 | 2009-05-11 |
1497951487 | Stephen Wade Marrow | Technician, Other | 1 Eagle Rd, Alameda, CA 94501-5100 | 2007-06-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
Find all providers in zip 94501 |
Taxonomy Code | 261QM1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Military/U.S. Coast Guard Outpatient |
The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538393327 | United States Coast Guard | Clinic/Center | Isc Alameda, Coast Guard Island, Bldg 1, Alameda, CA 94501 | 2009-05-07 |
1851473292 | Uscg Integrated Support Command Alameda | Clinic/Center | Uscg Intergrated Support Command Health Services Clinic, Coast Guard Island, Alameda, CA 94501-5100 | 2006-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538727276 | Uscg Clinic San Francisco | Clinic/Center | 1020 N Access Rd, San Francisco, CA 94128-3120 | 2019-05-29 |
1154715803 | Branch Medical Clinic Area 33 | Clinic/Center | 33 Area Branch Medical Clinic, Bldg 330305, Camp Pendleton, CA 92055 | 2015-03-20 |
1790179455 | Naval Hospital Camp Pendleton | Clinic/Center | 41 Area Branch Medical Clinic, Bldg 414006, Camp Pendleton, CA 92055 | 2015-03-20 |
1245624907 | Branch Medical Clinic Area 43 | Clinic/Center | 43 Area Branch Medical Clinic, Bldg 434057, Camp Pendleton, CA 92055 | 2015-03-20 |
1154715811 | Branch Medical Clinic Area 53 | Clinic/Center | 53 Area Branch Medical Clinic, Bldg 533020, Camp Pendleton, CA 92055 | 2015-03-20 |
1801288634 | Branch Medical Clinic Nalf San Clemente Island | Clinic/Center | Wilson Cove, Bldg 60126, San Clemente, CA 92135 | 2015-03-03 |
1023400256 | Branch Medical Clinic Mcas Miramar | Clinic/Center | Bauer Rd, Bldg 2496, San Diego, CA 92145-0001 | 2015-02-25 |
1083028989 | Weed Army Community Hospital | Clinic/Center | Bldg 189 Ave B, Fort Irwin, CA 92310 | 2014-06-18 |
1891109799 | Weed Army Community Hospital | Clinic/Center | Ave B Bldg R190, Warrior Care Center, Fort Irwin, CA 92310 | 2014-06-18 |
1871832394 | Branch Medical Clinic Area 62 | Clinic/Center | Bldg 620306 8th Street, Camp Pendleton, CA 92055 | 2013-02-04 |
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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.