ALAMEDA HEALTH SYSTEM (NPI# 1861693657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861693657 |
| Entity Type | Organization |
| Organization Name | ALAMEDA HEALTH SYSTEM |
| Other Organization Name | FAIRMONT HOSPITAL |
| Practice Address |
15400 Foothill Blvd Bldg E San Leandro CA 94578-1009 |
| Mailing Address |
15400 Foothill Blvd San Leandro CA 94578-1009 |
| Practice Telephone | 5108957230 |
| Practice Fax Number | 5108954231 |
| Mailing Telephone | 5108957344 |
| Mailing Fax Number | 5108957229 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2016-05-27 |
| Authorized Official Name | BERNADETTE JENSEN (VP OF REVENUE CYCLE) |
| Authorized Official Telephone | 5106182147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 140000046 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC70138F | 05 |
| Other Name | Type Code |
|---|---|
| FAIRMONT HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770784563 | Alameda Health System | Clinic/Center | 6066 Civiv Terrace Avenue, Newark, CA 94560-3756 | 2007-05-30 |
| 1104959089 | Alameda Health System | Clinic/Center | 6955 Foothill Blvd Suite 200, Oakland, CA 94605-2409 | 2007-03-13 |
| 1033241633 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2007-03-09 |
| 1932265204 | Alameda Health System | Pharmacy | 15400 Foothill Blvd Bldg E, San Leandro, CA 94578-1009 | 2006-12-29 |
| 1396764353 | Alameda Health System | General Acute Care Hospital | 1411 E 31st Street, Oakland, CA 94602 | 2006-07-19 |
| 1205324696 | Alameda Health System | Clinic/Center | 1411 E 31st St, Oakland, CA 94602-1018 | 2018-05-01 |
| 1891200820 | Alameda Health System | Psychiatric Hospital | 2060 Fairmont Dr, San Leandro, CA 94578-1001 | 2017-12-13 |
| 1083166144 | Alameda Health System | Clinic/Center | 6955 Foothill Blvd, Oakland, CA 94605-2455 | 2016-10-25 |
| 1508317264 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2016-10-18 |
| 1538610290 | Alameda Health System | Specialist | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2016-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Alameda Health System | 7677 Oakport Street 12th Floor, Oakland, CA 94621 |
| Street Address |
15400 FOOTHILL BLVD BLDG E |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982705943 | Susan Annette Smiley | Occupational Therapist | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2006-09-25 |
| 1811508781 | Gina L Walker | Registered Nurse | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2020-08-13 |
| 1295209740 | Diana Lawton | Marriage & Family Therapist | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2019-01-17 |
| 1033682604 | Thomas Rooker | Social Worker | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2019-01-07 |
| 1558749440 | Alameda Health System | Clinic/Center | 15400 Foothill Blvd, San Leandro, CA 94578-3746 | 2015-05-11 |
| 1154761096 | Brandon Emmick Kopald | Clinical Neuropsychologist | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2013-06-25 |
| 1710254081 | Maricela Segura Martin | Registered Nurse | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2011-11-30 |
| 1528367695 | Jaineicia Marie Harris | Occupational Therapist | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2011-03-15 |
| 1306175088 | Amtul Ahmad | Pediatrics | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2009-12-09 |
| 1043543325 | Alameda County Medical Group | Clinic/Center | 15400 Foothill Blvd, San Leandro, CA 94578-1091 | 2009-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972851392 | Meridian Health Services Corporation | Skilled Nursing Facility | 15731 Maubert Ave, San Leandro, CA 94578-2014 | 2012-08-15 |
| 1659495604 | Sanhyd, Inc. | Skilled Nursing Facility | 524 Callan Ave, San Leandro, CA 94577-4610 | 2007-03-16 |
| 1467597534 | Bancroft Convalescent Hospital, Inc. | Skilled Nursing Facility | 1475 Bancroft Ave, San Leandro, CA 94577-5105 | 2007-02-20 |
| 1790850329 | San Leandro Health Care Center, Inc. | Skilled Nursing Facility | 368 Juana Ave, San Leandro, CA 94577-0000 | 2006-11-21 |
| 1770657561 | Kaiser Foundation Hospitals | Skilled Nursing Facility | 1440 168th Ave, San Leandro, CA 94578-2409 | 2006-11-20 |
| 1104932417 | Ty Five Star Corp | Skilled Nursing Facility | 1652 Mono Ave, San Leandro, CA 94578-2020 | 2006-08-21 |
| 1649787268 | Bancroft Health Group, Inc. | Skilled Nursing Facility | 1475 Bancroft Ave, San Leandro, CA 94577-5105 | 2018-01-04 |
| 1205213204 | All Saintsidence Opco, LLC | Skilled Nursing Facility | 1652 Mono Ave, San Leandro, CA 94578-2020 | 2015-04-29 |
| 1225425929 | Maubertidence Opco, LLC | Skilled Nursing Facility | 15731 Maubert Ave, San Leandro, CA 94578-2014 | 2015-04-20 |
| 1255616280 | Kaiser | Skilled Nursing Facility | 1440 168th Ave, San Leandro, CA 94578-2409 | 2011-10-21 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.