Nkiru E Ajaelo

Individual provider Active NPI Case Manager/Care Coordinator · Berkeley, CA

NPI 1245673854 · NPPES record last updated Apr 12, 2013

Key facts

NPI
1245673854
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1255 Allston Way
Berkeley, CA 94702-1833
Phone
(510) 845-9010
Fax
(510) 849-1421
NPI assigned
Apr 12, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Youth Alternatives Past
since May 21, 2023
Accepting new patients
Berkeley Youth Alternatives Past
since Mar 24, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1255 Allston Way
Berkeley, CA 94702-1833

Mailing address

1255 Allston Way
Berkeley, CA 94702-1833
Phone (510) 845-9010

Other providers in Berkeley, CA

All providers in Berkeley, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.