Organization Active NPI

Berkeley Youth Living With Disabilities

  • Intellectual Disabilities Intermediate Care Facility
  • Berkeley, CA
National Provider Identifier
1083744395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
BERKELEY YOUTH LIVING WITH DISABILITIES
Practice address
2110 7TH St
Berkeley, CA 94710-2318
Phone
(510) 845-2744
Fax
(510) 849-1603
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Luke Francis Kramschuster
Title
Director
Phone
(510) 845-2744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

2110 7TH St
Berkeley, CA 94710-2318

Mailing address

2110 7TH St
Berkeley, CA 94710-2318
Phone (510) 845-2744

National Provider Directory

National Provider Directory

Locations

2110 7th St
Berkeley, CA 94710
Phone (510) 845-2744

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083744395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 7TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102318",
            "telephone_number": "510-845-2744",
            "fax_number": "510-849-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 7TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102318",
            "telephone_number": "510-845-2744",
            "fax_number": "510-849-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY YOUTH LIVING WITH DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAMSCHUSTER",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-845-2744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "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 Aug 22, 2020; 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.