Organization Active NPI

Berkeley Hearing Center LLC

  • Hearing and Speech Clinic/Center
  • Berkeley, CA
National Provider Identifier
1730840646
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
BERKELEY HEARING CENTER LLC
Practice address
2748 San Pablo Ave
Berkeley, CA 94702-2240
Phone
(510) 841-0681
Fax
(510) 841-0695
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
John Chakan
Title
Co-Owner
Phone
(510) 841-0681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

2748 San Pablo Ave
Berkeley, CA 94702-2240

Mailing address

2748 San Pablo Ave
Berkeley, CA 94702-2240
Phone (510) 841-0681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220204001198 CA Part B Supplier - Clinic/Group Practice 2961895453 Receives reassigned benefits from 4 practitioners
Practice locations: Berkeley, CA

National Provider Directory

National Provider Directory

Locations

2478 San Pablo Ave
Berkeley, CA 94702
Phone (510) 841-0681

2748 San Pablo Ave
Berkeley, CA 94702
Phone (510) 841-0681

2478 San Pablo Ave
Berkeley, CA 94702
Phone (510) 841-0681

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1730840646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 SAN PABLO AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022240",
            "telephone_number": "510-841-0681",
            "fax_number": "510-841-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 SAN PABLO AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022240",
            "telephone_number": "510-841-0681",
            "fax_number": "510-841-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY HEARING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "CHAKAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "510-841-0681"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "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 Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.