Organization Active NPI

Vera Life

  • Clinical Molecular Genetics Physician
  • Berkeley, CA
National Provider Identifier
1497428049
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Molecular Genetics PhysicianTaxonomy code 207SG0203X
Legal business name
VERA LIFE
Practice address
2151 Berkeley Way
Berkeley, CA 94720-2502
Phone
(510) 664-9073
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Michael James CoffeyNPI 1720796436
Title
Founder and Ceo
Phone
(415) 931-2517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Molecular Genetics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207SG0203X Primary

Addresses

Primary practice location

2151 Berkeley Way
Berkeley, CA 94720-2502

Mailing address

1515 Pine St Apt 3
San Francisco, CA 94109-4643
Phone (415) 931-2517

Other names 1

  • Coffey Lab Former legal business name

National Provider Directory

National Provider Directory

Locations

2151 Berkeley Way
Berkeley, CA 94720
Phone (510) 664-9073

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1497428049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PINE ST APT 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094643",
            "telephone_number": "415-931-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 BERKELEY WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202502",
            "telephone_number": "510-664-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERA LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "415-931-2517"
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coffey Lab",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 29, 2021; 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.