Poverty Free Alliance

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

POVERTY FREE ALLIANCE

Practice address

1121 40TH St
Suite 5302
Emeryville, CA 94608-3600

Phone

(415) 237-1984

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Sharam Kohan

Title

Chief Executive Officer

Phone

(415) 810-2011

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1871907048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 40TH ST",
            "address_2": "5302",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083600",
            "telephone_number": "415-237-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 40TH ST",
            "address_2": "SUITE 5302",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083600",
            "telephone_number": "415-237-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POVERTY FREE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "KOHAN",
        "authorized_official_first_name": "SHARAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-810-2011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Michelle Pohl, PA-C
• Emma Pollack, D.M.D
• Sarah Pontell, PA
• Eilda Portillo, PA-C
• Timothy Van Dyke Potts, L.AC.
• Mili Prakash
• Ritbune Prakobkit, M.D.
• Lanae Irene Prendez
• Ashton Elizabeth Price, NP
• Goodwill C Princewill

• Voluntary or Charitable Agency in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.