Individual provider Active NPI

Raymond Anthony Pisano

  • Registered Nurse
  • Berkeley, CA
National Provider Identifier
1023256286
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
500167 Issued in CA
Practice address
1947 Center St
2ND Floor
Berkeley, CA 94704-1169
Phone
(510) 981-7684
Fax
(510) 981-5345
NPI assigned
Jan 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 500167 CA Primary

Addresses

Primary practice location

1947 Center St
2ND Floor
Berkeley, CA 94704-1169

Mailing address

1947 Center St
2ND Floor
Berkeley, CA 94704-1169
Phone (510) 981-7684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
500167CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
City of Berkeley Targeted Case Management Past Accepting new patients
City of Berkeley Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1023256286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 CENTER ST",
            "address_2": "2ND FLOOR",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041169",
            "telephone_number": "510-981-7684",
            "fax_number": "510-981-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 CENTER ST",
            "address_2": "2ND FLOOR",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041169",
            "telephone_number": "510-981-7684",
            "fax_number": "510-981-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISANO",
        "first_name": "RAYMOND",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "500167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.