NPIMap

Organization Active NPI

Uhs at California Berkely Tang Center

  • Health Service Clinic/Center
  • Berkeley, CA
National Provider Identifier
1760788038
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
267742 Issued in CA
Legal business name
UHS AT CALIFORNIA BERKELY TANG CENTER
Practice address
2222 Bancroft Ave.
Berkeley, CA 94720-4300
Phone
(510) 643-7177
Fax
(510) 643-9790
NPI assigned
Feb 4, 2011
Last updated
Feb 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Virginia Sorgi, RN
Title
Career RN Allergy/Travel
Phone
(510) 643-7177

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 267742 CA
Health Service Clinic/Center 261QH0100X 267742 CA Primary

Addresses

Primary practice location

2222 Bancroft Ave.
Berkeley, CA 94720-4300

Mailing address

2222 Bancroft Way SPC 4300
Berkeley, CA 94720-4300
Phone (510) 643-7177

Other identifiers 2

IdentifierTypeStateIssuer
267742OtherCA26LEVEL ONE HEALTH CARE PROVIDER
163W00000XOtherCALEVEL 1 PROVIDER RN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1760788038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT WAY SPC 4300",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204300",
            "telephone_number": "510-643-7177",
            "fax_number": "510-643-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT AVE.",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204300",
            "telephone_number": "510-643-7177",
            "fax_number": "510-643-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS AT CALIFORNIA BERKELY TANG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "SORGI",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "CAREER RN ALLERGY/TRAVEL",
        "authorized_official_telephone_number": "510-643-7177",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "267742",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "267742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "26LEVEL ONE HEALTH CARE PROVIDER",
            "identifier": "267742",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEVEL 1 PROVIDER RN",
            "identifier": "163W00000X",
            "state": "CA"
        }
    ],
    "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 Feb 4, 2011; 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.