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SUTTER EAST BAY HOSPITALS NPI 1740279959


NPI Information

NPI: 1740279959
Provider Name: SUTTER EAST BAY HOSPITALS

Doing Business As: ALTA BATES SUMMIT MED CENTER - SUMMIT CAMPUS

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 05D0716007

Address:
350 HAWTHORNE AVE
OAKLAND, CA
ZIP 94609
Phone: (510) 655-4000
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SUTTER EAST BAY HOSPITALS is a general acute care hospital in Oakland, CA. The provider is 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. SUTTER EAST BAY HOSPITALS NPI is 1740279959. The provider is registered as an organization entity type.
The provider Is Doing Business As Alta Bates Summit Med Center - Summit Campus.

The provider's business location address is:

350 HAWTHORNE AVE
OAKLAND, CA
ZIP 94609-108
Phone: (510) 655-4000
Fax: (510) 658-8593

The provider's authorized official is John Gates .
The authorized official title is Cfo Shba and has the following contact phone number (510) 450-7357.

The CLIA number assigned to this NPI record is 05D0716007 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/19/2005 and was last updated on 4/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory140000284CALIFORNIANo
2282N00000XGeneral Acute Care Hospital140000284CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZR00043GMEDICAIDCALIFORNIA
2HSP40043GMEDICAIDCALIFORNIA
3050043MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
4HSC00043GMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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