Organization Active NPI

Whole Health Services

  • Health Service Clinic/Center
  • Berkeley, CA
National Provider Identifier
1861128985
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
WHOLE HEALTH SERVICES
Practice address
1700 Shattuck Ave
Berkeley, CA 94709-3402
Phone
(510) 845-8017
Fax
(844) 649-0670
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Abigail Surasky, L.AC.NPI 1780928432
Title
Sole Member/Owner
Phone
(510) 342-2380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1700 Shattuck Ave
Berkeley, CA 94709-3402

Mailing address

2206 Grant St
Berkeley, CA 94703-1714
Phone (510) 342-2380

Other identifiers 2

IdentifierTypeStateIssuer
863934OtherCAOPTUM PROVIDER ID
12493637OtherCACAQH PROVIDER ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ab@abigailsuraskyacupuncture.com Direct

National Provider Directory

National Provider Directory

Locations

1700 Shattuck Ave
Berkeley, CA 94709
Phone (510) 847-9706

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1861128985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 GRANT ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031714",
            "telephone_number": "510-342-2380",
            "fax_number": "844-649-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947093402",
            "telephone_number": "510-845-8017",
            "fax_number": "844-649-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "SURASKY",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "510-342-2380",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM PROVIDER ID",
            "identifier": "863934",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "12493637",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ab@abigailsuraskyacupuncture.com",
            "affiliation": "N",
            "endpointDescription": "secure professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email content and attachments",
            "address_1": "1700 Shattuck Ave",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947093402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 29, 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.

Verify at the official NPI Registry.