Organization
SUTTER COMMUNITY HEALTH
Active
Other names
Alta Bates Summit Perinatal Center, Sutter East Bay Women's Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELYN THOMAS (ADMINISTRATIVE MEDICAL DIRECTOR)
(510) 869-8425
Entity
Organization
Contact information
Practice address
350 30TH ST, STE 205, OAKLAND, CA 94609-3425
(510) 869-8425
(510) 506-7710
Mailing address
350 30TH ST STE 205, OAKLAND, CA 94609-3425
(510) 869-8425
(510) 506-7710
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
550000581
CA
261QC1500X
Community Health Clinic/Center
550000581
CA
261QF0050X
Non-Surgical Family Planning Clinic/Center
550000581
CA
261QP2300X
Primary Care Clinic/Center
550000581
CA
291U00000X
Clinical Medical Laboratory
05D0942632 CLP322959
CA
3336C0002X
Clinic Pharmacy
BD OF PHARMACY #1822
CA
3336C0002X
Clinic Pharmacy
DEA #FE0575122
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM71192F
—
CA
01
—
D585
MEDI-CAL PRESUMPTIVE ELIG
CA
Enumeration date
03/15/2007
Last updated
01/16/2026
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