PHILIP STALEY


Address: 1890 Alcatraz Avenue, Berkeley, CA 94608
Phone: 5109817643

PHILIP STALEY (NPI# 1871023630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871023630
Entity Type Individual
Full Name PHILIP STALEY
Credential RN
Practice Address 1890 Alcatraz Avenue
Berkeley
CA 94608
Mailing Address 1890 Alcatraz Ave
Berkeley
CA 94703-2715
Practice Telephone 5109817643
Mailing Telephone 5109817643
Enumeration Date 2017-06-14
Last Update Date 2017-06-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
95048577 CA Nursing Service Providers

Other Providers PHILIP STALEY

NPI Name Taxonomy Address Enumeration
1326135625 Philip Keller Staley Dentist 21297 Foothill Blvd, # 204, Hayward, CA 94541 2006-10-06

Office Location

Street Address 1890 ALCATRAZ AVENUE
City BERKELEY
State CA
Zip Code 94608

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396363610 Francine Marie Madrid-bizari Midwife 5854 Fremont St, Oakland, CA 94608 2020-07-13
1457853921 Jimmy Yan Behavior Technician 5900 Hollis Street Suite X, Emeryville, CA 94608 2018-03-01
1609395961 Bay Wellness Durable Medical Equipment & Medical Supplies 5715 Market St Ste #d, Oakland, CA 94608 2017-09-18
1114379120 Leah Jane Tapscott Registered Nurse 6121 Hollis St Ste 900, Emeryville, CA 94608 2016-07-01
1295122273 Paramjit S Virk Nurse Practitioner 888 Stanford Ave., Oakland, CA 94608 2015-04-17
1295123453 Sports Injury Medical Group Preferred Provider Organization 5900 Hollis St., Suite K, Emeryville, CA 94608 2014-12-22
1144630583 Adeline Lopez Social Worker 925 Brockhurst St., Oakland, CA 94608 2014-05-07
1710201603 Rachna Gurjeet Wadia Pediatrics 6121 Hollis St. Suite #2, Emeryville, CALIFORNIA 94608 2010-03-21
1184872285 I 5 Medical Group, Inc. Clinic/Center 5915 B Hollis Street, Emeryville, CA 94608 2008-09-03
1629243142 Jennifer Marie Benton Physical Therapist 6475 Christie Ave Ste 135, Emeryville, CA 94608 2008-04-25
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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487030102 Nancy Gutierrez Registered Nurse 1890 Alcatraz Ave, Berkeley, CA 94703-2715 2015-08-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033739677 Tiffany Venice Turner Registered Nurse 2085 Rustin Ave Bldg 5, Riverside, CA 92507-2498 2020-04-23
1073144549 Cedelia Untalan Cardenas Registered Nurse 17053 Foothill Blvd Bldg N, Fontana, CA 92335-3574 2020-02-03
1689204265 Juvelyn Isip Ingal Registered Nurse 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 2020-01-22
1043859531 Klair Grace Registered Nurse 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 2019-12-31
1316588395 Batoul Salameh Registered Nurse 19204 Bension Dr, Santa Clarita, CA 91350-3797 2019-10-01
1851949580 Michael Perez Registered Nurse 25727 Mcbean Pkwy, Valencia, CA 91355-3704 2019-08-27
1982259792 Beverly Austin Mccabe Registered Nurse 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 2019-08-08
1396390530 Trisha Lynne Basman Registered Nurse 939 Snow Dr, Martinez, CA 94553-4715 2019-08-05
1003378043 Ildefonso Silva Rodriguez Registered Nurse 2437 Woodcreek Rd, Camarillo, CA 93012-2537 2019-04-01
1518430842 Jesus Lim Registered Nurse 695 Sea Vale St Unit 202, Chula Vista, CA 91910-1242 2019-01-09
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Competitor

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City BERKELEY
Zip Code 94608

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Dataset Information

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.

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