Healthcare Provider Details

I. General information

NPI: 1992632319
Provider Name (Legal Business Name): ALAMEDA HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13855 E 14TH ST
SAN LEANDRO CA
94578-2600
US

IV. Provider business mailing address

13855 E 14TH ST
SAN LEANDRO CA
94578-2600
US

V. Phone/Fax

Practice location:
  • Phone: 510-357-6500
  • Fax:
Mailing address:
  • Phone: 510-357-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: SHARI JOHNSON
Title or Position: CHIEF REVENUE OFFICER
Credential:
Phone: 510-407-2869