Elle Abundis
Individual provider Active NPI Community Health Worker · Berkeley, CA
NPI 1306305693 · NPPES record last updated Mar 16, 2019
Key facts
- NPI
- 1306305693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 3200 Adeline St
Berkeley, CA 94703-2407 - Phone
- (510) 601-0203
- NPI assigned
- Mar 16, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
3200 Adeline St
Berkeley, CA 94703-2407
Mailing address
1234 Empire St
Fairfield, CA 94533-5711
Phone (510) 601-0203
Other practice location 1
1234 Empire St
Fairfield, CA 94533-5711
Phone (510) 601-0203
Other names
- Elle Flanagan
Other providers in Berkeley, CA
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- Amanda Abraham
- Hailey Ruth Abraham
- Henry L. Abrons
- Zebiba Kassa Abshiro I
- Sarah Ackerman
- Jessica Acock Carlisle
- Kristal Acosta
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- Thomas C Adame
All providers in Berkeley, CA · Community Health Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.