CITY OF BERKELEY PUBLIC HEALTH CLINIC (TB-IZ) (NPI# 1528107026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528107026 |
| Entity Type | Organization |
| Organization Name | CITY OF BERKELEY PUBLIC HEALTH CLINIC (TB-IZ) |
| Practice Address |
830 University Ave. Public Health Clinic Berkeley CA 94710 |
| Practice Telephone | 5109815399 |
| Practice Fax Number | 5109815385 |
| Mailing Telephone | 5109815399 |
| Mailing Fax Number | 5109815385 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-11-21 |
| Authorized Official Name | DR. JANET BERREMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5109815301 |
| Authorized Official Credential | MD, MPH |
| Is Organization Subpart | Y |
| Parent Organization Name | CITY OF BERKELEY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR11877F | 05 |
| Street Address |
830 UNIVERSITY AVE. PUBLIC HEALTH CLINIC |
| City | BERKELEY |
| State | CA |
| Zip Code | 94710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902944796 | City of Berkeley Public Health Clinic (rsh) | Clinic/Center | 830 University Ave., Public Health Clinic, Berkeley, CA 94710 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836857 | Elizabeth B. Isono | Occupational Therapy Assistant | 2550 9th Street, Suite115, Berkeley, CA 94710 | 2019-08-14 |
| 1861967622 | Liliana Teves Sierra | Nurse Practitioner | 837 Addison St, Berkeley, CA 94710 | 2018-10-09 |
| 1841774213 | Erin Royle | Nurse Practitioner | 800 Dwight Way, Berkeley, CA 94710 | 2018-09-20 |
| 1790293389 | Nga Thien Ho | Pharmacist | 1500 Gilman St, Berkeley, CA 94710 | 2018-01-17 |
| 1942710140 | Laila Rania Tannura | Nurse Practitioner | 837 Addison St., Berkeley, CA 94710 | 2017-10-03 |
| 1578016556 | Elizaveta Pachepsky | Counselor | 1061 Eastshore Hwy, Albany, CA 94710 | 2016-07-26 |
| 1245624832 | Jody Slendebroek | Behavioral Analyst | 2560 9th Street Suite 220a, Ste Consultants LLC, Berkeley, CA 94710 | 2015-03-23 |
| 1104234731 | Felicia Ma | Physician Assistant | 2344 Sixth Street, Berkeley, CA 94710 | 2014-07-28 |
| 1699197228 | Henriette Agnes Lenssen | Acupuncturist | 809 Delaware St, Berkeley, CA 94710 | 2014-01-16 |
| 1598198350 | Fiona C. Lundy | Social Worker | 837 Addison Street, Berkeley, CA 94710 | 2013-08-15 |
| Find all providers in zip 94710 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548799042 | County of Ventura | Clinic/Center | 2500 S C St # B1, Oxnard, CA 93033-4560 | 2017-06-08 |
| 1821527326 | County of Ventura | Clinic/Center | 2240 E Gonzales Rd Ste 140, Oxnard, CA 93036-8212 | 2017-06-08 |
| 1134658644 | County of Ventura | Clinic/Center | 2240 E Gonzales Rd Ste 210, Oxnard, CA 93036-8216 | 2017-06-08 |
| 1598212045 | Truc Doan | Clinic/Center | 1000 W. Carson, Torrance, CA 90502 | 2016-09-01 |
| 1861765877 | County of Los Angeles | Clinic/Center | 522 S. San Pedro Street, Los Angeles, CA 90013-2102 | 2012-02-22 |
| 1356588925 | Optimum Health Care Centet | Clinic/Center | 4244 Mustic Way, Mather, CA 95655-3032 | 2009-01-19 |
| 1740431436 | County of Orange | Clinic/Center | 1725 W 17th St Ste 101f, Santa Ana, CA 92706-2316 | 2008-10-01 |
| 1457501280 | County of Merced | Clinic/Center | 415 F St, Los Banos, CA 93635-3612 | 2008-09-29 |
| 1275795692 | El Dorado County Health Department | Clinic/Center | 931 Spring Street, Placerville, CA 95667 | 2008-06-26 |
| 1447444294 | County of Los Angeles | Clinic/Center | 241 N Figueroa St, Los Angeles, CA 90012-2601 | 2007-09-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CITY OF BERKELEY PUBLIC HEALTH CLINIC (TB-IZ).
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.