SAN QUENTIN
NPI 1710329925
Case Management in Berkeley, CA
About San Quentin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN QUENTIN (NPI 1710329925) is a healthcare organization registered as a case management in Berkeley, California and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists Christopher Roach, Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0858103
San Quentin Rehabilitation Center · San Quentin, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 San Quentin's NPI number?
The NPI number for San Quentin is 1710329925. It was assigned to this organization in the NPPES registry on July 29, 2013.
Where is San Quentin located?
San Quentin is located at 1635 Josephine St, Berkeley, CA 94703. The listed phone number is (415) 454-1469.
What is San Quentin's specialty?
The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.
Does San Quentin hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0858103) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for San Quentin was last updated on July 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.