Organization Active NPI

Berkeley Health Center (for Women and Men)

  • Primary Care Clinic/Center
  • Berkeley, CA
National Provider Identifier
1205107380
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
NP1584 Issued in CA
Legal business name
BERKELEY HEALTH CENTER (FOR WOMEN AND MEN)
Practice address
2908 Ellsworth St
Berkeley, CA 94705-1912
Phone
(510) 843-6194
Fax
(510) 843-6297
NPI assigned
Jan 20, 2012
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BAY AREA CONSORTIUM FOR QULITY HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Dr. Gwendolyn Rowe-Lee Sykes, PHD
Title
Executive Director
Phone
(510) 843-6194

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NP1584 CA
Non-Surgical Family Planning Clinic/Center 261QF0050X NP1584 CA
Primary Care Clinic/Center 261QP2300X NP1584 CA Primary

Addresses

Primary practice location

2908 Ellsworth St
Berkeley, CA 94705-1912

Mailing address

2908 Ellsworth St
Berkeley, CA 94705-1912
Phone (510) 843-6194

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Consortium for Quality Health Care Inc3 organizations share this tax ID, including this one
Part of
Bay Area Consortium for Quality Health Care Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1205107380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 ELLSWORTH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051912",
            "telephone_number": "510-843-6194",
            "fax_number": "510-843-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 ELLSWORTH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051912",
            "telephone_number": "510-843-6194",
            "fax_number": "510-843-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY HEALTH CENTER (FOR WOMEN AND MEN)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY AREA CONSORTIUM FOR QULITY HEALTH CARE, INC.",
        "enumeration_date": "2012-01-20",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "ROWE-LEE SYKES",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-843-6194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "NP1584",
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "CA",
            "license": "NP1584",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "NP1584",
            "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 Dec 23, 2024; 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.