Organization Active NPI

Sanfranskinny

  • Dietary Manager
  • El Cerrito, CA
National Provider Identifier
1760881858
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dietary ManagerTaxonomy code 132700000X
Legal business name
SANFRANSKINNY
Practice address
11100 San Pablo Ave
104
El Cerrito, CA 94530-2194
Phone
(415) 383-9903
Fax
(415) 383-9901
NPI assigned
Aug 14, 2014
Last updated
Aug 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Morgan Camp, M.D.
Title
Owner
Phone
(415) 383-9903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary Manager 132700000X CA Primary

Addresses

Primary practice location

11100 San Pablo Ave
104
El Cerrito, CA 94530-2194

Mailing address

11100 San Pablo Ave
104
El Cerrito, CA 94530-2194
Phone (415) 383-9903

National Provider Directory

National Provider Directory

Locations

11100 San Pablo Ave
Ste 104
El Cerrito, CA 94530
Phone (510) 232-4333

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1760881858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 SAN PABLO AVE",
            "address_2": "104",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302194",
            "telephone_number": "415-383-9903",
            "fax_number": "415-383-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 SAN PABLO AVE",
            "address_2": "104",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302194",
            "telephone_number": "415-383-9903",
            "fax_number": "415-383-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFRANSKINNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-383-9903",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.