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EASTMONT WELLNESS CENTER
NPI 1104959089
Clinic/Center - Federally Qualified Health Center (FQHC) in Oakland, CA

Active since March 13, 2007
6955 FOOTHILL BLVD SUITE 200, OAKLAND, CA 94605(510) 567-5704(510) 568-0225 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2023, Apr 27, 2022 (2 updates tracked since 2022).

About Eastmont Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTMONT WELLNESS CENTER (NPI 1104959089) is a healthcare organization registered as a federally qualified health center (fqhc) in Oakland, California and active in the NPI registry since March 2007. The organization lists Kim Miranda, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104959089
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameALAMEDA HEALTH SYSTEM
Location Address6955 FOOTHILL BLVD SUITE 200Oakland, CA 94605-2409
Mailing Address15400 Foothill BlvdSan Leandro, CA 94578-1009 · (510) 895-7344 · Fax (510) 895-7229
Phone(510) 567-5704
Fax(510) 568-0225
Organization SubpartNo
Authorized OfficialKim MirandaCfo · (510) 618-2147
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1104959089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · EXEMPT UNDER 12-35B
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
6955 FOOTHILL BLVD SUITE 200, Oakland, CA 94605
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Other Names 1

Doing Business AsEastmont Wellness Center

Other Identifiers 6

Other10449CA · Hf Access Dntl - Eastmnt
OtherG01016-03CA · Aa Delta Dental
MedicaidFHC11783GCA
Other000001116CA · Dd Private - Eastmont
MedicaidBCP11783GCA
MedicaidHAP11783GCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alameda Health System's NPI number?

The NPI number for Alameda Health System is 1104959089. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Eastmont Wellness Center.

Where is Alameda Health System located?

Alameda Health System is located at 6955 Foothill Blvd Suite 200, Oakland, CA 94605. The listed phone number is (510) 567-5704.

What is Alameda Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Alameda Health System was last updated on July 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.