Active NPI
Jaikrishna Balkisson,MD & Laurie E. Schweitzer, MD
- Specialist
- Berkeley, CA
National Provider Identifier
1205115128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G713630
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G713630 | CA | Primary |
| Specialist | 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
National Provider Directory
National Provider DirectoryLocations
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.