Active NPI
Emmanuel Jose Calautti
- Student in an Organized Health Care Education/Training Program
- Berkeley, CA
National Provider Identifier
1831658491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3075 Adeline St Ste 120
Berkeley, CA 94703-2579 - Phone
- (650) 557-6665
- NPI assigned
- Mar 13, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
3075 Adeline St Ste 120
Berkeley, CA 94703-2579
Mailing address
3075 Adeline St Ste 120
Berkeley, CA 94703-2579
Other practice location 1
901 Sneath Ln Ste 105
San Bruno, CA 94066-2415
Phone (650) 515-9882
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1831658491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3075 ADELINE ST STE 120",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947032579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 ADELINE ST STE 120",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947032579",
"telephone_number": "650-557-6665"
}
],
"practiceLocations": [
{
"address_1": "901 Sneath Ln Ste 105",
"address_purpose": "LOCATION",
"city": "San Bruno",
"state": "CA",
"postal_code": "940662415",
"country_code": "US",
"telephone_number": "650-515-9882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALAUTTI",
"first_name": "EMMANUEL",
"middle_name": "JOSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-13",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.