Individual provider Active NPI

Jennifer Elizabeth Stockford, RN, MSN

  • General Practice Physician
  • Berkeley, CA
National Provider Identifier
1447519707
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
531804 Issued in CA
Practice address
Uhs Tang Center UC Berkeley:2222 Bancroft Way
#4300
Berkeley, CA 94720-4300
Phone
(510) 643-7117
Fax
(510) 642-3520
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 531804 CA Primary

Addresses

Primary practice location

Uhs Tang Center UC Berkeley:2222 Bancroft Way
#4300
Berkeley, CA 94720-4300

Mailing address

Uhs Tang Center UC Berkeley:2222 Bancroft Way
#4300
Berkeley, CA 94720-4300
Phone (510) 643-7117

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
531804CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1447519707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UHS TANG CENTER UC BERKELEY:2222 BANCROFT WAY",
            "address_2": "#4300",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204300",
            "telephone_number": "510-643-7117",
            "fax_number": "510-642-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UHS TANG CENTER UC BERKELEY:2222 BANCROFT WAY",
            "address_2": "#4300",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204300",
            "telephone_number": "510-643-7117",
            "fax_number": "510-642-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKFORD",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "RN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "531804",
            "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 8, 2012; 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.