Organization
ALAMEDA HEALTH SYSTEM
Active
Organization
ALAMEDA HEALTH SYSTEM
Active
Other names
EASTMONT WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MIRANDA (CFO)
(510) 618-2147
Entity
Organization
Contact information
Practice address
6955 FOOTHILL BLVD SUITE 200, OAKLAND, CA 94605-2409
(510) 567-5704
(510) 568-0225
Mailing address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 895-7344
(510) 895-7229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
EXEMPT UNDER 12-35B
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001116
DD PRIVATE - EASTMONT
CA
01
—
10449
HF ACCESS DNTL - EASTMNT
CA
05
—
BCP11783G
—
CA
05
—
FHC11783G
—
CA
01
—
G01016-03
AA DELTA DENTAL
CA
05
—
HAP11783G
—
CA
Enumeration date
03/13/2007
Last updated
07/05/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up