Individual provider Active NPI

Deborah Rosen Kanofsky

  • Acupuncturist
  • Berkeley, CA
National Provider Identifier
1689123994
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC2571 Issued in CA
Practice address
2320 Woolsey St
Suite 100
Berkeley, CA 94705-1973
Phone
(925) 952-9688
Fax
(510) 843-7379
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC2571 CA Primary

Addresses

Primary practice location

2320 Woolsey St
Suite 100
Berkeley, CA 94705-1973

Mailing address

2320 Woolsey St
Suite 100
Berkeley, CA 94705-1973
Phone (925) 952-9688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC2571CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1689123994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST",
            "address_2": "SUITE 100",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051973",
            "telephone_number": "925-952-9688",
            "fax_number": "510-843-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST",
            "address_2": "SUITE 100",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051973",
            "telephone_number": "925-952-9688",
            "fax_number": "510-843-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOFSKY",
        "first_name": "DEBORAH",
        "middle_name": "ROSEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC2571",
            "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 Sep 27, 2016; 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.