Organization Active NPI

Rebuilding Together East Bay Network

  • Public Health or Welfare Agency
  • Berkeley, CA
National Provider Identifier
1588448328
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
REBUILDING TOGETHER EAST BAY NETWORK
Practice address
732 Gilman St
Berkeley, CA 94710-1325
Phone
(510) 644-8979
NPI assigned
Aug 22, 2023
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Mr. John-William Frye
Title
Executive Director
Phone
(510) 644-8979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

732 Gilman St
Berkeley, CA 94710-1325

Mailing address

732 Gilman St
Berkeley, CA 94710-1325
Phone (510) 644-8979

National Provider Directory

National Provider Directory

Locations

732 Gilman St
Berkeley, CA 94710
Phone (510) 644-8979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1588448328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 GILMAN ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101325",
            "telephone_number": "510-644-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 GILMAN ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101325",
            "telephone_number": "510-644-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILDING TOGETHER EAST BAY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "JOHN-WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-644-8979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "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 Aug 22, 2023; 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.