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EARVIN JAY FERNANDEZ TANEDO
NPI 1093545089
Specialist in Berkeley, CA

Active since August 05, 2024
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704(510) 714-0996 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Earvin Jay Fernandez Tanedo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EARVIN JAY FERNANDEZ TANEDO (NPI 1093545089) is an individual specialist in Berkeley, California and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1093545089
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameEARVIN JAY FERNANDEZ TANEDO
Location Address2640 MARTIN LUTHER KING JR WAYBerkeley, CA 94704-3238
Mailing Address6522 Telegraph AveOakland, CA 94609-1114 · (510) 714-0996
Phone(510) 714-0996
Sole ProprietorNo
Enumeration DateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
✔ NPI 1093545089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
2640 MARTIN LUTHER KING JR WAY, Berkeley, CA 94704
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET SUSAN HIGGINS RN
Registered Nurse (Psychiatric/Mental Health)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
JULIE ANN OQUERIZA MARIANO
Registered Nurse (Psychiatric/Mental Health, Adult)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
JAMES RUBIN GLENN
Social Worker
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
LELAND S JOHNSON MFT
Marriage & Family Therapist
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
BRYAN THUNSTEDT RN
Registered Nurse
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
MR. MICHAEL HILTON MARCHANT LCSW
Social Worker (Clinical)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
MISS AMANDA HARTMAN
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
KATHARINE VIDT
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Earvin Jay Tanedo's NPI number?

The NPI number for Earvin Jay Tanedo is 1093545089. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Earvin Jay Tanedo located?

Earvin Jay Tanedo practices at 2640 Martin Luther King Jr Way, Berkeley, CA 94704. The listed phone number is (510) 714-0996.

What is Earvin Jay Tanedo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Earvin Jay Tanedo was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.