Active NPI
Roxanne Fiscella, M.D.
- Legal Medicine
- Berkeley, CA
National Provider Identifier
1063671386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- G42958
- Legal business name
- ROXANNE FISCELLA, M.D.
- Practice address
- 2500 Milvia St
Suite 116
Berkeley, CA 94704-2636 - Phone
- (510) 843-0692
- Fax
- (510) 843-3230
- NPI assigned
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roxanne Claire Fiscella, M.D.
- Title
- Medical Doctor
- Phone
- (510) 843-0692
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | G42958 | CA | Primary |
Addresses
Primary practice location
2500 Milvia St
Suite 116
Berkeley, CA 94704-2636
Mailing address
2500 Milvia St
Suite 116
Berkeley, CA 94704-2636
Phone (510) 843-0692
National Provider Directory
National Provider DirectoryLocations
2500 Milvia St
Ste 116
Berkeley, CA 94704
Phone (510) 843-0692
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Berkeley, CA
- NPI 1598866170
-
- Pediatric Nurse Practitioner
- Scott Air Force Base, IL
- NPI 1710082961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1063671386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 MILVIA ST",
"address_2": "SUITE 116",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042636",
"telephone_number": "510-843-0692",
"fax_number": "510-843-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 MILVIA ST",
"address_2": "SUITE 116",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042636",
"telephone_number": "510-843-0692",
"fax_number": "510-843-3230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROXANNE FISCELLA, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "FISCELLA",
"authorized_official_first_name": "ROXANNE",
"authorized_official_middle_name": "CLAIRE",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "510-843-0692",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "CA",
"license": "G42958",
"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 Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.