NPIMap

Organization Active NPI

Bay Area Consortium for Quality Health Care

  • Clinic/Center
  • Berkeley, CA
National Provider Identifier
1356374045
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
C41403 Issued in CA
Legal business name
BAY AREA CONSORTIUM FOR QUALITY HEALTH CARE
Practice address
2908 Ellsworth St
Berkeley, CA 94705-1912
Phone
(510) 843-6194
Fax
(510) 843-6297
NPI assigned
Jul 8, 2006
Last updated
Nov 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gwen Rowe-Lee Sykes, PH.D
Title
Executive Director
Phone
(510) 652-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X C41403 CA Primary

Addresses

Primary practice location

2908 Ellsworth St
Berkeley, CA 94705-1912

Mailing address

2908 Ellsworth St
Berkeley, CA 94705-1912
Phone (510) 843-6194

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Consortium for Quality Health Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1356374045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 ELLSWORTH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051912",
            "telephone_number": "510-843-6194",
            "fax_number": "510-843-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 ELLSWORTH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051912",
            "telephone_number": "510-843-6194",
            "fax_number": "510-843-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA CONSORTIUM FOR QUALITY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "ROWE-LEE SYKES",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-652-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "C41403",
            "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 Nov 9, 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.

Verify at the official NPI Registry.