340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PED053301-46 CHILDRENS HOSP & RES CNTR OAKLAND (Terminated)
Print
Main Details
Name
CHILDRENS HOSP & RES CNTR OAKLAND
Subdivision Name
UCSF Benioff Childrens Hospital Oakland OPC - Tuberculosis Sclerosis
Type
Children's Hospital
Rural
No
340B ID
PED053301-46
Medicare Provider Number
053301
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/5/2019
Participating Start Date
10/1/2019
Participating Approval Date
9/4/2019
Last Recertification Date
8/15/2023
Termination Date
Termination Reason
10/1/2024
Site closure
Contacts
Authorizing Official
Children's Hospital & Research Center At Oakland
Ted Wang, VP & Chief Financial Officer
(510) 442-8030
Primary Contact
UCSF Health
Kayla Hubbard, 340B Program Coordinator
(808) 339-5697
Addresses
Street Address
744 52nd St
Oakland, CA 94609
Billing Address
UCSF Benioff Childrens Hospital Oakland
747 52nd Street
Oakland, CA 94609
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session