EAST BAY PERINATAL CENTER (NPI# 1811021405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811021405 |
| Entity Type | Organization |
| Organization Name | EAST BAY PERINATAL CENTER |
| Other Organization Name | ALTA BATES SUMMIT PERINATAL CENTER |
| Practice Address |
350 30th St Ste 205 Oakland CA 94609-3425 |
| Mailing Address |
350 30th St Suite 205 Oakland CA 94609-3425 |
| Practice Telephone | 5108698425 |
| Practice Fax Number | 5105067710 |
| Mailing Telephone | 5108698425 |
| Mailing Fax Number | 5105067710 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | ROSWITHA CALHAN (PRESIDENT) |
| Authorized Official Telephone | 5108698680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
BD OF PHARMACY # | CA | Suppliers |
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
550000581 | CA | Ambulatory Health Care Facilities |
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
550000581 | CA | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
550000581 | CA | Ambulatory Health Care Facilities |
| N | 291U00000X | Clinical Medical Laboratory | 05D0942632 CLP32 | CA | Laboratories |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
DEA #FE057 | CA | Suppliers |
| Y | 261Q00000X | Clinic/Center | 550000581 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PRESUMPTIVE ELIG | D585 | 01 |
| CA | CMM71192F | 05 |
| Other Name | Type Code |
|---|---|
| Alta Bates Summit Perinatal Center | Doing Business As Name - Organization |
| Street Address |
350 30TH ST STE 205 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932183472 | Yi Yi Stephanie Gu | Internal Medicine | 350 30th St, #320, Oakland, CA 94609-3424 | 2005-11-29 |
| 1225561095 | Jonathan R Dunham | Physician Assistant | 350 30th St, Suite 530, Oakland, CA 94609-3424 | 2017-04-07 |
| 1609317015 | Baychildren's Physicians | Obstetrics & Gynecology | 350 30th St, Suite 208, Oakland, CA 94609-3424 | 2017-03-17 |
| 1417320896 | Sarah Holmgren | Nurse Practitioner | 350 30th St, Suite 320, Oakland, CA 94609-3424 | 2015-11-05 |
| 1477975860 | Hiva Kolodrubetz | Registered Nurse | 350 30th St, #320, Oakland, CA 94609-3424 | 2014-01-20 |
| 1710322664 | Allyse Wharton | Physician Assistant | 350 30th St, Oakland, CA 94609-3424 | 2013-05-06 |
| 1578806329 | Aimee Keyashian | Internal Medicine | 350 30th St, #320, Oakland, CA 94609-3424 | 2013-03-30 |
| 1265774053 | Lynn Ellen Chiarello | Advanced Practice Midwife | 350 30th St, Suite 208, Oakland, CA 94609-3424 | 2013-03-20 |
| 1396001640 | Jennifer Brewster | Physician Assistant | 350 30th St, Suite 320, Oakland, CA 94609-3424 | 2012-04-11 |
| 1497012777 | Nicholas V Drbal | Podiatrist | 350 30th St, Suite 100, Oakland, CA 94609-3424 | 2012-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743345 | Osita Health Clinic | Clinic/Center | 2521 Seminary Ave Ste 1, Oakland, CA 94605-1307 | 2019-01-04 |
| 1417440959 | Perkins-mazor Chiropractic, Inc. | Clinic/Center | 3201 Macarthur Blvd, Oakland, CA 94602-3819 | 2018-06-09 |
| 1760981617 | East Bay Acupuncture | Clinic/Center | 440 Grand Ave Ste 401, Oakland, CA 94610-5032 | 2018-02-06 |
| 1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
| 1972904183 | International Center for Integrative Medicine | Clinic/Center | 3824 Macarthur Blvd, Oakland, CA 94619-1315 | 2014-09-07 |
| 1538431432 | Preventive Care Pathways | Clinic/Center | 5709 Market St Ste A, Oakland, CA 94608-2811 | 2012-02-08 |
| 1497033088 | Oakland Acupuncture Project, Inc. | Clinic/Center | 3576 Laurel Ave, Oakland, CA 94602-3841 | 2011-07-29 |
| 1689825366 | The West Oakland Health Council | Clinic/Center | 2730 Adeline Street, Oakland, CA 94607 | 2008-10-01 |
| 1235301524 | Healthy Communities, Incorporated | Clinic/Center | 2580 San Pablo Ave, Oakland, CA 94612-1160 | 2008-03-27 |
| 1811025653 | Garrett Surgical Group, P.a. | Clinic/Center | 255 N 4th St Ste 2, Oakland, MD 21550-1340 | 2007-03-01 |
| Find all providers in OAKLAND | ||||
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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.