Individual provider Active NPI

Taisa Grant

  • Health Information Specialist/Technologist
  • Berkeley, CA
National Provider Identifier
1164913968
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Information Specialist/TechnologistTaxonomy code 246Y00000X
Practice address
3200 Adeline St
Berkeley, CA 94703-2407
Phone
(510) 601-0203
Fax
(510) 601-4002
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Information Specialist/Technologist 246Y00000X
Health Information Specialist/Technologist 246Y00000X CA Primary

Addresses

Primary practice location

3200 Adeline St
Berkeley, CA 94703-2407

Mailing address

3200 Adeline St
Berkeley, CA 94703-2407
Phone (510) 601-0203

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

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1164913968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032407",
            "telephone_number": "510-601-0203",
            "fax_number": "510-601-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032407",
            "telephone_number": "510-601-0203",
            "fax_number": "510-601-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TAISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "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 May 29, 2018; 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.