Active NPI
Jane Lanuevo Dulay, M.D.
- Psychiatry Physician
- Berkeley, CA
National Provider Identifier
1386849198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G713741
- Practice address
- 2340 Ward St Ste 204
Berkeley, CA 94705-1147 - Phone
- (510) 845-2958
- Fax
- (510) 848-5431
- NPI assigned
- Jun 20, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G713741 | CA | Primary |
Addresses
Primary practice location
2340 Ward St Ste 204
Berkeley, CA 94705-1147
Mailing address
1933 Francisco St
Berkeley, CA 94709-2123
Phone (510) 848-7132
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G713741 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386849198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 FRANCISCO ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947092123",
"telephone_number": "510-848-7132",
"fax_number": "510-848-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 WARD ST STE 204",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051147",
"telephone_number": "510-845-2958",
"fax_number": "510-848-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULAY",
"first_name": "JANE",
"middle_name": "LANUEVO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G713741",
"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 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.