SUTTER MEDICAL CENTER CASTRO VALLEY (NPI# 1821351016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821351016 |
| Entity Type | Organization |
| Organization Name | SUTTER MEDICAL CENTER CASTRO VALLEY |
| Other Organization Name | EDEN MEDICAL CENTER |
| Practice Address |
20103 Lake Chabot Rd Castro Valley CA 94546-5305 |
| Mailing Address |
Po Box 748373 Los Angeles CA 90074-8373 |
| Practice Telephone | 5105371234 |
| Practice Fax Number | 5108896506 |
| Mailing Telephone | 8553981633 |
| Mailing Fax Number | 5108896506 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2016-04-21 |
| Authorized Official Name | JOHN GATES (CFO SHBA) |
| Authorized Official Telephone | 5104507357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 282N00000X | General Acute Care Hospital | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| Eden Medical Center | Doing Business As Name - Organization |
| Street Address |
20103 LAKE CHABOT RD |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122179 | Eden Medical Center | General Acute Care Hospital | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2005-05-23 |
| 1902412430 | Kenneth A Harris | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-09-21 |
| 1417568916 | Michael A Esparza Md Inc | Surgery | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-08-10 |
| 1417596289 | Linda Ann Scott-hickman | Pharmacist | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2019-12-27 |
| 1821598418 | Alyan Ali, M.d., Inc. | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2018-02-20 |
| 1508374489 | David C Bonovich Md | Psychiatry & Neurology | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2018-01-13 |
| 1922511278 | Lisa Gaye Quan | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2017-11-08 |
| 1114439593 | David Paul Rathmann | Speech-Language Pathologist | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2017-10-25 |
| 1205378668 | Jacqueline Margolese | Nurse Practitioner | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2016-11-15 |
| 1386098309 | Travis Sunlum Lee | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972915817 | Indiana University | General Acute Care Hospital | 19100 Crest Ave, Apt 88, Castro Valley, CA 94546-8661 | 2014-05-27 |
| 1134122179 | Eden Medical Center | General Acute Care Hospital | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2005-05-23 |
| 1063812907 | Sutter Bay Hospitals | General Acute Care Hospital | 20103 Lake Chabot Road, Castro Valley, CA 94546-5305 | 2014-08-28 |
| 1265680045 | Laurel Grove Acute Hospital | General Acute Care Hospital | 19933 Lake Chabot Rd, Castro Valley, CA 94546-4003 | 2008-09-04 |
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| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
| Find all providers with the same taxonomy | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
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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.