UNIVERSITY HEALTH SERVICES, UNIVERSITY OF CALIFORNIA, BERKELEY (NPI# 1124101068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124101068 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HEALTH SERVICES, UNIVERSITY OF CALIFORNIA, BERKELEY |
| Practice Address |
2222 Bancroft Way Berkeley CA 94720-4300 |
| Practice Telephone | 5106438669 |
| Practice Fax Number | 5106429119 |
| Mailing Telephone | 5106438669 |
| Mailing Fax Number | 5106429119 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CLAUDIA COVELLO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5106421814 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
N/A | CA | Ambulatory Health Care Facilities |
| Street Address |
2222 BANCROFT WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94720-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821033309 | Anna Ylva Bloxham Harte | Internal Medicine | 2222 Bancroft Way, #4300, Berkeley, CA 94720-4300 | 2006-06-18 |
| 1447869813 | Zdravko Rozic | Counselor | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-30 |
| 1518576107 | Joshua Lee | Counselor | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-29 |
| 1689283939 | Jazmin Rodriguez-jordan | Dietitian, Registered | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-23 |
| 1356976542 | Melissa Lock | Pharmacist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-03-08 |
| 1508490566 | Samuel Haile Melles | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-28 |
| 1568096667 | Camille Burkley | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-27 |
| 1053942425 | Xiaoxia Song | Psychologist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-03 |
| 1427697457 | Joni-jay Hayes | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2019-12-20 |
| 1275171175 | Robert Pelletier | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2019-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
| 1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
| 1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
| Find all providers in zip 94720 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003366295 | Uhs Pharmacy Uc Berkeley | Clinic/Center | 2222 Bancroft Way, Pharmacy; Room 1115, Berkeley, CA 94720-4720 | 2016-10-11 |
| 1558614800 | Uhs Tang Center Uc Berkekey | Clinic/Center | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2012-10-24 |
| 1982957205 | Cindy Green | Clinic/Center | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2012-10-24 |
| 1770836009 | Angela Bonaventura | Clinic/Center | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2012-10-24 |
| 1487907846 | Melody Heller | Clinic/Center | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2012-10-23 |
| 1689927048 | Eileen Erdmann | Clinic/Center | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2012-10-23 |
| 1356694624 | Lisa Mckeever | Clinic/Center | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2012-10-23 |
| 1780700633 | University Health Services Pharmacy | Clinic/Center | 2222 Bancroft Way, Berkeley, CA 94720 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756103 | Wonderful Center for Health Innovation Inc | Clinic/Center | 14848 Lamberson Ave, Lost Hills, CA 93249 | 2020-10-06 |
| 1811452493 | Wonderful Center for Health Innovation Inc | Clinic/Center | 2070 Veneto St, Delano, CA 93215-9122 | 2019-02-07 |
| 1386134815 | Ventura County Community College District | Clinic/Center | 4667 Telegraph Road, Ventura, CA 93003-3872 | 2018-05-10 |
| 1104339761 | Kern Community College District | Clinic/Center | 1801 Panorama Dr, Bakersfield, CA 93305-1219 | 2017-11-06 |
| 1104342393 | Yosemite Community College District | Clinic/Center | 11600 Columbia College Dr, Sonora, CA 95370-8560 | 2017-08-18 |
| 1750813663 | Yosemite Community College District | Clinic/Center | 435 College Ave, Modesto, CA 95350-5808 | 2017-03-30 |
| 1275937682 | Emmons Student Wellness Center | Clinic/Center | 1600 Campus Rd # F-57, Emmons Wellness Center, Los Angeles, CA 90041-3314 | 2014-10-14 |
| 1083036495 | Nora Anderson | Clinic/Center | 1603 Merion Way, 42 G, Seal Beach, CA 90740-4984 | 2014-01-21 |
| 1386082766 | Esteban E. Torres High School Clinic | Clinic/Center | 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 | 2013-06-07 |
| 1770920787 | Allan Hancock College | Clinic/Center | 800 S College Dr, Santa Maria, CA 93454-6399 | 2013-05-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.