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EAST BAY PERINATAL CENTER NPI 1811021405


NPI Information

NPI: 1811021405
Provider Name: EAST BAY PERINATAL CENTER

Doing Business As: ALTA BATES SUMMIT PERINATAL CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D0942636

Address:
350 30TH ST
STE 205
OAKLAND, CA
ZIP 94609
Phone: (510) 869-8425
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EAST BAY PERINATAL CENTER is a clinic center in Oakland, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EAST BAY PERINATAL CENTER NPI is 1811021405. The provider is registered as an organization entity type.
The provider Is Doing Business As Alta Bates Summit Perinatal Center.

The provider's business location address is:

350 30TH ST
STE 205
OAKLAND, CA
ZIP 94609-425
Phone: (510) 869-8425
Fax: (510) 506-7710

The provider's authorized official is Roswitha Calhan .
The authorized official title is President and has the following contact phone number (510) 869-8680.

The CLIA number assigned to this NPI record is 05D0942636 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/15/2007 and was last updated on 11/15/2018.


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
13336C0002XPharmacyClinic PharmacyBD OF PHARMACY #1822CALIFORNIANo
2261QC1500XClinic/CenterCommunity Health550000581CALIFORNIANo
3261QF0050XClinic/CenterFamily Planning, Non-Surgical550000581CALIFORNIANo
4261QP2300XClinic/CenterPrimary Care550000581CALIFORNIANo
5291U00000XClinical Medical Laboratory05D0942632 CLP322959CALIFORNIANo
63336C0002XPharmacyClinic PharmacyDEA #FE0575122CALIFORNIANo
7261Q00000XClinic/Center550000581CALIFORNIAYes

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
1D585OTHERCALIFORNIAMEDI-CAL PRESUMPTIVE ELIG
2CMM71192FMEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.