John Eknoian, RADT-I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1523730923 Issued in CA

Practice address

1816 Scenic Ave
Berkeley, CA 94709-1324

Phone

(510) 544-8727

NPI assigned

Nov 17, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1891560082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 LE ROY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947081914",
            "telephone_number": "415-517-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 SCENIC AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091324",
            "telephone_number": "510-544-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKNOIAN",
        "first_name": "JOHN",
        "credential": "RADT-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1523730923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Christine Eichinger, FNP-C
• Gloria Alexis Villegas Eide
• Eileen T. Consorti, MD
• Sydney Eisenberg
• Monika M Eisenbud, MD
• Hussam I El-Gohary, M.D.
• Timothy Ray Elder II, AMFT
• Elephant Pharmacy Operating Corp
• John B Elford
• Selsabeel Elghandour

• Addiction (Substance Use Disorder) Counselor in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.