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BERKELEY ADDICTION TERATMENT SERVICES NPI 1942670419


NPI Information

NPI: 1942670419
Provider Name: BERKELEY ADDICTION TERATMENT SERVICES
Classification: Health Maintenance Organization - 302R00000X
Entity Type: Organization

CLIA Number: 05D1104143

Address:
2975 SACRAMENTO ST
BERKELEY, CA
ZIP 94702
Phone: (510) 644-0200
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BERKELEY ADDICTION TERATMENT SERVICES is a health maintenance organization in Berkeley, CA. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. BERKELEY ADDICTION TERATMENT SERVICES NPI is 1942670419. The provider is registered as an organization entity type.

The provider's business location address is:

2975 SACRAMENTO ST
BERKELEY, CA
ZIP 94702-534
Phone: (510) 644-0200

The provider's authorized official is Mark Tishman .
The authorized official title is Fiscal Officer and has the following contact phone number (510) 644-0200.

The CLIA number assigned to this NPI record is 05D1104143 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2015 and was last updated on 9/28/2015.


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
1302R00000XHealth Maintenance Organization0190CALIFORNIAYes

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
1101YA0400XOTHERCALIFORNIAMEDICAL

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

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