ALTABATES COMPREHENSIVE CANCER CENTER


Address: 2001 Dwight Way, Berkeley, CA 94704-2608
Phone: 5102041591

ALTABATES COMPREHENSIVE CANCER CENTER (NPI# 1821405192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821405192
Entity Type Organization
Organization Name ALTABATES COMPREHENSIVE CANCER CENTER
Practice Address 2001 Dwight Way
Berkeley
CA 94704-2608
Mailing Address 901 Jefferson St
Apt #301
Oakland
CA 94607-3552
Practice Telephone 5102041591
Mailing Telephone 4157869469
Enumeration Date 2014-07-17
Last Update Date 2014-07-17
Authorized Official Name JESSICA M MCCOY (NURSE CASE MANAGER)
Authorized Official Telephone 5102041591
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0200X Clinic/Center
Specialization: Oncology
788303 CA Ambulatory Health Care Facilities

Office Location

Street Address 2001 DWIGHT WAY
City BERKELEY
State CA
Zip Code 94704-2608

Providers in the same location

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
1538563614 Sutter East Bay Hospitals Pharmacy 2001 Dwight Way, Suite 2182, Berkeley, CA 94704-2608 2014-10-17
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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Providers in the same zip code

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 Information

Taxonomy Code 261QX0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oncology

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
1407478712 Iliana Garcia Clinic/Center 725 Welch Rd Rm 2570, Palo Alto, CA 94304-1614 2020-05-08
1831597061 Jiyun Jean Kwon Clinic/Center 1670 East 120th Street, Mlk Oc Pharmacy, Los Angeles, CA 90059 2014-12-22
1215189709 Martin J Cline Clinic/Center 6901 Panoramic Highway, Stinson Beach, CA 94970-0905 2008-10-16
1477603983 Epeius Biotechnologies Corporation Clinic/Center 475 Huntington Dr, San Marino, CA 91108-2358 2007-01-10
1063486025 Sequoia Oncology Medical Assoc Clinic/Center 857 Garner Ave, Hanford, CA 93230 2006-02-15
1265405328 Sequoia Oncology Medical Assoc Clinic/Center 4945 W Cypress Ave, Ste C, Visalia, CA 93277 2006-02-09
1164077566 Vaginal and Pelvic Surgeons, Inc Clinic/Center 1325 E Church St, Santa Maria, CA 93454-5909 2019-08-03
1558823518 City of Hope Medical Foundation Clinic/Center 1500 Duarte Rd, Duarte, CA 91010-3012 2019-04-01
1356848584 Colton Health LLC Clinic/Center 480 Fourth Ave Ste 409, Chula Vista, CA 91910-4413 2018-04-13
1326566431 Regents Univ of Calif of Los Angeles Clinic/Center 200 Medical Plaza Suite 120, Los Angeles, CA 90095-0001 2017-09-08
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Competitor

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City BERKELEY
Zip Code 94704

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Dataset Information

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.

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