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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
788303 | CA | Ambulatory Health Care Facilities |
Street Address |
2001 DWIGHT WAY |
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 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 94704 |
Taxonomy Code | 261QX0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oncology |
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] |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on ALTABATES COMPREHENSIVE CANCER CENTER.
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.