Active NPI
Stephanie Fareri Matthews, L.AC.
- Acupuncturist
- Berkeley, CA
National Provider Identifier
1851096341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19706
- Practice address
- 1283 Gilman St
Berkeley, CA 94706-2351 - Phone
- (510) 214-2980
- NPI assigned
- Apr 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 19706 | CA | Primary |
Addresses
Primary practice location
1283 Gilman St
Berkeley, CA 94706-2351
Mailing address
511 Coventry Rd
Kensington, CA 94707-1316
Phone (210) 854-8248
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19706 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1851096341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 COVENTRY RD",
"city": "KENSINGTON",
"state": "CA",
"postal_code": "947071316",
"telephone_number": "210-854-8248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1283 GILMAN ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947062351",
"telephone_number": "510-214-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "STEPHANIE",
"middle_name": "FARERI",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19706",
"primary": true
}
],
"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 Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.