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JAIKRISHNA BALKISSONMD & LAURIE E. SCHWEITZER MD NPI 1205115128


NPI Information

NPI: 1205115128
Provider Name: JAIKRISHNA BALKISSON,MD & LAURIE E. SCHWEITZER, MD

Former Legal Business Name: EAST BAY CANCER CENTER

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0600062

Address:
2999 REGENT ST
300
BERKELEY, CA
ZIP 94705
Phone: (510) 548-1717
Get Directions

JAIKRISHNA BALKISSON,MD & LAURIE E. SCHWEITZER, MD is a specialist in Berkeley, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JAIKRISHNA BALKISSON,MD & LAURIE E. SCHWEITZER, MD NPI is 1205115128. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is East Bay Cancer Center.

The provider's business location address is:

2999 REGENT ST
300
BERKELEY, CA
ZIP 94705-190
Phone: (510) 548-1717

The provider's authorized official is Angelie P. Durano .
The authorized official title is Manager and has the following contact phone number (510) 548-1717.

The CLIA number assigned to this NPI record is 05D0600062 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2011 and was last updated on 8/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG713950CALIFORNIANo
2174400000XSpecialistG713630CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F36983MEDICARE UPINCALIFORNIA
2F39557MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.