CALIFORNIA HOSPITAL MEDICINE PHYSICIANS MEDICAL GROUP INC (NPI# 1558769224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558769224 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA HOSPITAL MEDICINE PHYSICIANS MEDICAL GROUP INC |
| Practice Address |
2070 Clinton Ave Alameda CA 94501-4399 |
| Mailing Address |
Po Box 638682 Cincinnati OH 45263-8682 |
| Practice Telephone | 5105223700 |
| Mailing Telephone | 8004243672 |
| Mailing Fax Number | 9543773042 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |
| Authorized Official Name | DR. SUJAL S. MANDAVIA (PRESIDENT) |
| Authorized Official Telephone | 8004243672 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2070 CLINTON AVE |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-4399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427039288 | Edward D Lee | Emergency Medicine | 2070 Clinton Ave, Alameda, CA 94501-4399 | 2005-11-09 |
| 1639738040 | Keely Reed Tietjen | Physician Assistant | 2070 Clinton Ave, Alameda, CA 94501-4399 | 2019-06-10 |
| 1790265973 | Angelimarie Mangahas | Nurse Practitioner | 2070 Clinton Ave, Alameda, CA 94501-4399 | 2018-08-17 |
| 1528415908 | Rikki Jacqueline Rodriguez | Nurse Practitioner | 2070 Clinton Ave, Suite #400, Alameda, CA 94501-4399 | 2016-05-16 |
| 1891112082 | Samra Rashid | Internal Medicine | 2070 Clinton Ave, Alameda, CA 94501-4399 | 2014-03-25 |
| 1962824532 | Nerissa Barreto | Nurse Practitioner | 2070 Clinton Ave, Alameda, CA 94501 | 2014-01-15 |
| 1396176160 | Alameda Health System | Skilled Nursing Facility | 2070 Clinton Ave, Alameda, CA 94501-4399 | 2013-12-04 |
| 1831529049 | Alameda Health System | General Acute Care Hospital | 2070 Clinton Ave, Alameda, CA 94501-4399 | 2013-11-25 |
| 1629410584 | Jillian E Cipa-tatum | Internal Medicine | 2070 Clinton Ave, Alameda Inpatient Medicine- Alameda Hospital, Alameda, CA 94501-4399 | 2013-07-20 |
| 1740622679 | Luke Lin | Internal Medicine | 2070 Clinton Ave, Alameda, CA 94501 | 2013-07-19 |
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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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669942751 | Independence Health | Internal Medicine | 140 Stanbridge Ln, Alameda, CA 94502-7420 | 2018-11-30 |
| 1225448426 | Brian Thomas Young | Internal Medicine | 31 Parfait Ln, Alameda, CA 94502-6546 | 2014-04-28 |
| 1114243854 | Kinjal Patel | Internal Medicine | 2217 S Shore Ctr # 250, Alameda, CA 94501-8073 | 2010-04-19 |
| 1073753042 | Alameda Medical Professionals. Inc. | Internal Medicine | 430 Willow Street, Alameda, CA 94501-6130 | 2009-03-03 |
| 1366507444 | Jacques Michael Calma | Internal Medicine | 1335 A Park Avenue, Alameda, CA 94501 | 2006-12-27 |
| 1073691820 | Anita C. Gaind | Internal Medicine | 2217 S Shore Ctr Ste 250, Alameda, CA 94501 | 2006-11-01 |
| 1740290329 | Robbin Green-yeh | Internal Medicine | 501 S Shore Ctr W Ste 103f, Alameda, CA 94501-5762 | 2006-08-08 |
| 1801864988 | Jagmohan Singh Khaira | Internal Medicine | 1050 Marina Village Parkway, Suite 101, Alameda, CA 94501-1033 | 2006-03-14 |
| 1992785703 | Ernest Lincoln Bonner Jr. | Internal Medicine | 1406 Park St, Suite 400, Alameda, CA 94501-4560 | 2006-01-18 |
| 1477530780 | Cheryl L'tanya Scott | Internal Medicine | Building 1, Coast Guard Island, Coast Guard Integrated Support Command, Alameda, CA 94501-5100 | 2005-12-28 |
| Find all providers in ALAMEDA | ||||
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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.