Individual provider Active NPI

Rahitha Maria Thomas, NP

  • Family Nurse Practitioner
  • Berkeley, CA
National Provider Identifier
1568991701
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007865 Issued in CA
Practice address
2905 Telegraph Ave
Berkeley, CA 94705-2017
Phone
(510) 841-4525
Fax
(510) 848-9970
NPI assigned
Jun 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 727733 CA
Family Nurse Practitioner 363LF0000X 95007865 CA Primary

Addresses

Primary practice location

2905 Telegraph Ave
Berkeley, CA 94705-2017

Mailing address

East Bay Nephrology Medical Group
2905 Telegraph Ave
Berkeley, CA 94705
Phone (510) 841-4525

Other practice location 1

2599 Stevenson Blvd
Fremont, CA 94538-2315
Phone (510) 796-4385

Other practice location 2

2599 Stevenson Blvd
Fremont, CA 94538-2315
Phone (510) 796-4385

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218002236 CA Practitioner - Nurse Practitioner 6406114651 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince May 11, 2021 Accepting new patients
City and County of San Francisco CurrentSince May 19, 2020 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California SFGH Medical Group CurrentSince May 11, 2021 Accepting new patients
East Bay Nephrology Medical Group, Inc. CurrentSince Dec 1, 2017 Accepting new patients
East Bay Nephrology Medical Group, Inc. Current Accepting new patients
University of California SFGH Medical Group CurrentSince May 11, 2021 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Current Accepting new patients

Locations

2905 Telegraph Ave
Berkeley, CA 94705
Phone (510) 841-0411

1001 Potrero Ave
Bldg 100
San Francisco, CA 94110
Phone (415) 476-4617

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

125 Hospital Dr
Vallejo, CA 94589
Phone (707) 642-7510

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568991701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EAST BAY NEPHROLOGY MEDICAL GROUP",
            "address_2": "2905 TELEGRAPH AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "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": [
        {
            "address_1": "2599 Stevenson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382315",
            "country_code": "US",
            "telephone_number": "510-796-4385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2599 Stevenson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382315",
            "country_code": "US",
            "telephone_number": "510-796-4385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RAHITHA",
        "middle_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "727733",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.