Active NPI
Kalub J Jarosh, L.AC
- Acupuncturist
- Berkeley, CA
National Provider Identifier
1306139126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 14234
- Practice address
- 2835 Ellsworth St
Berkeley, CA 94705 - Phone
- (617) 412-7085
- NPI assigned
- May 26, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 14234 | CA | Primary |
Addresses
Primary practice location
2835 Ellsworth St
Berkeley, CA 94705
Mailing address
4123 #520 Broadway Ave
Oakland, CA 94611
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1306139126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4123 #520 BROADWAY AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 ELLSWORTH ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94705",
"telephone_number": "617-412-7085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAROSH",
"first_name": "KALUB",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-26",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "14234",
"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 May 26, 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.