Active NPI
Elizabeth Anne Trachtenberg, PH.D.
- Ph.D. Medical Genetics
- Oakland, CA
National Provider Identifier
1215095864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- DRK24
- Practice address
- 747 52ND St
Childrens Hospital Oakland, Blmrb Ste 204
Oakland, CA 94609-1809 - Phone
- (510) 450-7685
- Fax
- (510) 450-5692
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | DRK24 | CA | Primary |
Addresses
Primary practice location
747 52ND St
Childrens Hospital Oakland, Blmrb Ste 204
Oakland, CA 94609-1809
Mailing address
2960 Benvenue Ave
Berkeley, CA 94705-2231
Phone (510) 665-4747
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DRK24 | CA | MD | Ph.D. Medical Genetics |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215095864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 BENVENUE AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052231",
"telephone_number": "510-665-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 52ND ST",
"address_2": "CHILDRENS HOSPITAL OAKLAND, BLMRB STE 204",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "510-450-7685",
"fax_number": "510-450-5692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACHTENBERG",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "CA",
"license": "DRK24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.