Urban Tilth

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

URBAN TILTH

Practice address

323 Brookside Dr
Richmond, CA 94801-1301

Phone

(510) 232-0911

NPI assigned

Mar 4, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Marco Lemus

Title

Program Coordinator

Phone

(510) 932-1059

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1598412041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BROOKSIDE DR",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948011301",
            "telephone_number": "510-232-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BROOKSIDE DR",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948011301",
            "telephone_number": "510-232-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN TILTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "LEMUS",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "510-932-1059",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pamela M. Valentine, MD
• Sherlyn Jimenez Valentine, PH.D.

• Home Delivered Meals in Richmond, CA
• Providers in Richmond, CA by specialty
• Home Delivered Meals in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.