Wheelchairs of Berkeley

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

100834 Issued in CA

Legal business name

WHEELCHAIRS OF BERKELEY

Practice address

2911 Shattuck Ave
Berkeley, CA 94705-1808

Phone

(510) 549-8727

Fax

(510) 540-1210

NPI assigned

Jun 21, 2005

Last updated

Nov 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenice S Chou

Title

Ceo

Phone

(650) 270-5456

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1780680132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051808",
            "telephone_number": "510-549-8727",
            "fax_number": "510-540-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051808",
            "telephone_number": "510-549-8727",
            "fax_number": "510-540-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELCHAIRS OF BERKELEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "JENICE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-270-5456"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "100834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00235F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Dental Services, Inc.
• Joshua David Westhoelter, LMFT
• Tom Westin, MFT
• Amy Weston
• Ann M Wexler, MD
• Brett Wheeler, MFT
• Trevor Cobble Wheeler
• William Alberto Whipple, MS, CCC-SLP
• Carrie J Whitaker, RN, PHN, MPH
• Lucky Milo Whitburn-Thomas

• Customized Equipment (DME) in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.