SUTTER EAST BAY HOSPITALS (NPI# 1538563614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538563614 |
Entity Type | Organization |
Organization Name | SUTTER EAST BAY HOSPITALS |
Other Organization Name | ALTA BATES SUMMIT OUTPATIENT PHARMACY |
Practice Address |
2001 Dwight Way Suite 2182 Berkeley CA 94704-2608 |
Mailing Address |
Po Box 619092 Roseville CA 95661-9092 |
Practice Telephone | 5102046550 |
Mailing Telephone | 9162978200 |
Enumeration Date | 2014-10-17 |
Last Update Date | 2015-01-08 |
Authorized Official Name | JOHN B. GATES (CFO) |
Authorized Official Telephone | 4152442322 |
Is Organization Subpart | Y |
Parent Organization Name | SUTTER HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY 52043 | CA | Suppliers |
Other Name | Type Code |
---|---|
Alta Bates Summit Outpatient Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215344965 | Sutter East Bay Hospitals | Rehabilitation Unit | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2014-07-15 |
1811129752 | Sutter East Bay Hospitals | General Acute Care Hospital | 3901 Lone Tree Way, Antioch, CA 94509-6200 | 2009-08-11 |
1992881759 | Sutter East Bay Hospitals | Skilled Nursing Facility | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2006-10-27 |
1316021546 | Sutter East Bay Hospitals | Skilled Nursing Facility | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2006-10-24 |
1922180827 | Sutter East Bay Hospitals | Psychiatric Unit | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2006-10-19 |
1861582645 | Sutter East Bay Hospitals | Rehabilitation Unit | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2006-10-13 |
1013906221 | Sutter East Bay Hospitals | Clinical Medical Laboratory | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2005-10-19 |
1740279959 | Sutter East Bay Hospitals | Clinical Medical Laboratory | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2005-10-19 |
Street Address |
2001 DWIGHT WAY SUITE 2182 |
City | BERKELEY |
State | CA |
Zip Code | 94704-2608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295738805 | Bay Area Rehabilitation Medical Group | Physical Medicine & Rehabilitation | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2005-05-27 |
1366083545 | Jamba Dolkar Tenzing | Nurse Practitioner | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2019-09-30 |
1013401983 | Lindsey Olander | Speech-Language Pathologist | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2018-06-14 |
1447604814 | Sutter Bay Hospitals | Psychiatric Unit | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2016-04-21 |
1235583360 | Mariam Kamyab | Registered Nurse | 2001 Dwight Way, Ste 1388, Berkeley, CA 94704-2608 | 2016-04-14 |
1336529106 | Alta Bates Summit Medical Center | Clinic/Center | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2015-06-05 |
1821405192 | Altabates Comprehensive Cancer Center | Clinic/Center | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2014-07-17 |
1942624408 | Karri Kennedy | Occupational Therapist | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2014-02-04 |
1740611375 | Rebecca Hummel-moore | Nurse Practitioner | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2013-12-08 |
1386983583 | Tadd T Tobias | Registered Nurse | 2001 Dwight Way, #1363, Berkeley, CA 94704-2608 | 2013-02-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
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Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699233882 | Prime Health Pharmacy | Pharmacy | 2915 Telegraph Ave Ste 100, Berkeley, CA 94705-2060 | 2019-03-06 |
1265701106 | Sal's Pharmacy | Pharmacy | 1831 Solano Ave Ste A, Berkeley, CA 94707-2322 | 2011-12-21 |
1467737643 | Drate Pharmacy | Pharmacy | 3219 Adeline St, Berkeley, CA 94703-2467 | 2011-10-19 |
1730411836 | Health Ventures Inc | Pharmacy | 2001 Dwight Way Rm 1380d, Berkeley, CA 94704-2608 | 2010-02-01 |
1003937558 | Chimes Pharmacy Inc | Pharmacy | 3210 College Ave, Berkeley, CA 94705-2749 | 2007-04-03 |
1740343045 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 1744 Solano Ave, Berkeley, CA 94707 | 2006-12-18 |
1982638573 | Royal Medical Inc | Pharmacy | 2929 Telegraph Ave, Berkeley, CA 94705-2017 | 2006-07-10 |
1528001799 | Longs Drug Stores California LLC | Pharmacy | 1451 Shattuck Ave, Berkeley, CA 94709-1410 | 2006-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
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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.