Organization Active NPI

Jaikrishna Balkisson,MD & Laurie E. Schweitzer, MD

  • Specialist
  • Berkeley, CA
National Provider Identifier
1205115128
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G713630 Issued in CA
Legal business name
JAIKRISHNA BALKISSON,MD & LAURIE E. SCHWEITZER, MD
Practice address
2999 Regent St
300
Berkeley, CA 94705-2190
Phone
(510) 548-1717
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Miss Angelie P. Durano, NP
Title
Manager
Phone
(510) 548-1717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X G713630 CA Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X G713950 CA

Addresses

Primary practice location

2999 Regent St
300
Berkeley, CA 94705-2190

Mailing address

2999 Regent Street
300
Berkeley, CA 94705
Phone (510) 548-1717

Other names 1

  • East Bay Cancer Center Former legal business name

National Provider Directory

National Provider Directory

Locations

2999 Regent St
Ste 300
Berkeley, CA 94705
Phone (510) 540-5010

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1205115128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT STREET",
            "address_2": "300",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-548-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "300",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052190",
            "telephone_number": "510-548-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIKRISHNA BALKISSON,MD & LAURIE E. SCHWEITZER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "DURANO",
        "authorized_official_first_name": "ANGELIE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "510-548-1717",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G713630",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G713950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Cancer Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 17, 2011; 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.