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Export Provider Record NPI 1114128915
Alameda Health System
Organization Subpart: NO
Active
NPI Number1114128915
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Federally Qualified Health Center (FQHC)
Provider Details
NPI1114128915
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-05-30
Last Updated2016-05-27
Authorized OfficialBernadette Jensen
VP of Revenue Cycle
Phone: 5106182147
Mailing Address15400 Foothill Blvd
San Leandro, CA 94578-1009
United States
Phone: (510) 895-7344 | Fax: (510) 895-7229
📍 View Map
Primary Practice Address664 Southland Mall
Hayward, CA 94545-2150
United States
Phone: (510) 266-1700 | Fax: (510) 782-8766
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCABCP11797G
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC)CAEXEMPT UNDER 12-35B
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About NPI 1114128915

Alameda Health System is an organization registered in the CMS NPPES NPI Registry with NPI number 1114128915. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Hayward, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1114128915?

NPI 1114128915 belongs to Alameda Health System, a Clinic/Center, Federally Qualified Health Center (FQHC) in Hayward, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1114128915 active?

The current status of NPI 1114128915 in the NPPES registry is Active. The record was last updated on 2016-05-27.

What specialty is NPI 1114128915?

NPI 1114128915 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1114128915?

You can verify NPI 1114128915 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1114128915?

The primary practice address on file for NPI 1114128915 is 664 Southland Mall, Hayward, CA 94545-2150. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1114128915 issued?

NPI 1114128915 was first issued (enumerated) on 2007-05-30. The NPPES record was last updated on 2016-05-27.

Practice Location Map

Alameda Health System is located at 664 Southland Mall, Hayward, CA. Use the map below to find directions or verify the practice location.

📍 664 Southland Mall, Hayward, CA 94545-2150  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Alameda Health System. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1114128915. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Clinic/Center, Federally Qualified Health Center (FQHC)EXEMPT UNDER 12-35BCA
Data Verified from CMS NPPES Last synced: 2026-06-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162