Stephanie Bain
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Berkeley, CA
NPI 1891344974 · NPPES record last updated Sep 10, 2019
Key facts
- NPI
- 1891344974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2712 Telegraph Ave
Berkeley, CA 94705-1117 - Phone
- (510) 548-8283
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Center for Human Growth | Past |
Accepting new patients | |
| Pacific Center for Human Growth | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2712 Telegraph Ave
Berkeley, CA 94705-1117
Mailing address
306 Lee St Apt 301
Oakland, CA 94610-4346
Phone (510) 219-7504
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | Direct |
Other providers in Berkeley, CA
- Sohaila Baheer
- Charles Howard Bailey
- Tamika Elecia Bailey
- Richard P. Bails
- Candice Lanell Bain
- Christina Baird
- Christi Baker
- Josey Elizabeth Baker
- Ellen J Balis
- Jaikrishna Balkissoon
All providers in Berkeley, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.