Organization Active NPI

Sutter East Bay Medical Foundation

  • Clinical Medical Laboratory
  • Berkeley, CA
National Provider Identifier
1831381623
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLP 326046 Issued in CA
Legal business name
SUTTER EAST BAY MEDICAL FOUNDATION
Practice address
2850 Telegraph Avenue
Suite 130
Berkeley, CA 94705-1159
Phone
(510) 883-9883
Fax
(510) 843-0804
NPI assigned
Aug 15, 2007
Last updated
Mar 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Len Alison
Title
Chief Executive Officer
Phone
(925) 962-6613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLP 326046 CA Primary

Addresses

Primary practice location

2850 Telegraph Avenue
Suite 130
Berkeley, CA 94705-1159

Mailing address

PO Box 255789
Sacramento, CA 95865-5789
Phone (510) 883-9883

Other identifiers 1

IdentifierTypeStateIssuer
AY764OtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

4053 Lone Tree Way
#100
Antioch, CA 94531
Phone (925) 756-3400

4053 Lone Tree Way
Ste 102
Antioch, CA 94531
Phone (925) 756-3400

4053 Lone Tree Way
Ste 201
Antioch, CA 94531
Phone (925) 756-3400

2850 Telegraph Ave
Ste 110
Berkeley, CA 94705
Phone (510) 204-1870

2850 Telegraph Ave
Ste 120
Berkeley, CA 94705
Phone (510) 204-8140

2915 Telegraph Ave
Ste 200
Berkeley, CA 94705
Phone (510) 647-0893

2999 Regent St
Ste 301
Berkeley, CA 94705
Phone (510) 204-8120

2999 Regent St
Ste 701
Berkeley, CA 94705
Phone (510) 204-8160

3010 Colby St
Ste 221
Berkeley, CA 94705
Phone (510) 644-2316

350 John Muir Pkwy
Ste 175
Brentwood, CA 94513
Phone (925) 685-7400

20101 Lake Chabot Rd
#1
Castro Valley, CA 94546
Phone (510) 886-3400

20130 Lake Chabot Rd
Ste 201
Castro Valley, CA 94546
Phone (510) 886-3400

350 30th St
Ste 311
Oakland, CA 94609
Phone (510) 465-0941

350 30th St
Ste 405
Oakland, CA 94609
Phone (510) 444-1319

350 30th St
Ste 411
Oakland, CA 94609
Phone (510) 204-8168

368 28th St
Oakland, CA 94609
Phone (510) 645-5700

400 29th St
Fl 3
Oakland, CA 94609
Phone (510) 525-7887

25 Orinda Way
Orinda, CA 94563
Phone (510) 524-2177

89 Davis Rd
Ste 220
Orinda, CA 94563
Phone (510) 254-2008

2101 Vale Rd
Ste 101
San Pablo, CA 94806
Phone (510) 233-0056

Practitioners & affiliated clinicians

Practitioners 761

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 761

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1831381623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255789",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655789",
            "telephone_number": "510-883-9883",
            "fax_number": "510-843-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 TELEGRAPH AVENUE",
            "address_2": "SUITE 130",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051159",
            "telephone_number": "510-883-9883",
            "fax_number": "510-843-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER EAST BAY MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "ALISON",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "925-962-6613"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLP 326046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AY764",
            "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 Mar 19, 2009; 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.