Active NPI
Helen Kalasa Mwanza, NP
- Family Nurse Practitioner
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95009265
- Practice address
- 2905 Telegraph Ave
Berkeley, CA 94705-2017 - Phone
- (510) 841-4525
- Fax
- (510) 848-9970
- NPI assigned
- Oct 24, 2018
- Last updated
- Nov 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95009265 | CA | Primary |
Addresses
Primary practice location
2905 Telegraph Ave
Berkeley, CA 94705-2017
Mailing address
2905 Telegraph Ave
Berkeley, CA 94705-2017
Phone (510) 841-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2370 Country Hills Dr
Suite 101
Antioch, CA 94509-7436
Phone (925) 779-9635
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95009265 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Nephrology Medical Group, Inc. | Current | Accepting new patients | |
| East Bay Nephrology Medical Group, Inc. | Current | Accepting new patients | |
| West Coast Kidney | Current | Accepting new patients | |
| Diablo Nephrology Medical Group, Inc | Past | Accepting new patients |
Locations
2370 Country Hills Dr
Ste 101
Antioch, CA 94509
Phone (925) 779-9635
2905 Telegraph Ave
Berkeley, CA 94705
Phone (510) 841-0411
1860 El Camino Real
Ste 321
Burlingame, CA 94010
Phone (650) 552-8180
2250 Hayes St
Ste 612
San Francisco, CA 94117
Phone (415) 268-3208
125 Hospital Dr
Vallejo, CA 94589
Phone (707) 642-7510
Interoperability endpoints
- helen.mwanza.1@8243.direct.athenahealth.com
- https://api.platform.athenahealth.com/11865/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Vallejo, CA
- NPI 1184719809
-
- Nephrology Physician
- Berkeley, CA
- NPI 1871699074
-
- Specialist
- Concord, CA
- NPI 1194734731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1538635966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052017",
"telephone_number": "510-841-4525",
"fax_number": "510-848-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052017",
"telephone_number": "510-841-4525",
"fax_number": "510-848-9970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MWANZA",
"first_name": "HELEN",
"middle_name": "KALASA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95009265",
"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 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.