Active NPI
Vera Life
- Clinical Molecular Genetics Physician
- Berkeley, CA
National Provider Identifier
1497428049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Molecular Genetics Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael James Coffey
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Molecular Genetics Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.