Active NPI
Elizabeth B. Isono
- Occupational Therapy Assistant
- Berkeley, CA
National Provider Identifier
1740836857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- BL-047478
- Practice address
- 2550 9TH Street
Suite115
Berkeley, CA 94710 - Phone
- (510) 717-1300
- NPI assigned
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | BL-047478 | CA | Primary |
Addresses
Primary practice location
2550 9TH Street
Suite115
Berkeley, CA 94710
Mailing address
311 Oak Street
Suite 113
Oakland, CA 94607
Phone (510) 717-1300
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
| License | State | Type | Specialty |
|---|---|---|---|
| BL-047478 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1740836857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 OAK STREET",
"address_2": "SUITE 113",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94607",
"telephone_number": "510-717-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 9TH STREET",
"address_2": "SUITE115",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94710",
"telephone_number": "510-717-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISONO",
"first_name": "ELIZABETH",
"middle_name": "B.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "BL-047478",
"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 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.