SAN QUENTIN
NPI 1710329925
Case Management in Berkeley, CA

Active since July 29, 2013
1635 JOSEPHINE ST, BERKELEY, CA 94703(415) 454-1469 Get Directions Write a Review

NPPES record last updated: July 29, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 lists Christopher Roach, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1710329925
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameSAN QUENTIN
Location Address1635 JOSEPHINE STBerkeley, CA 94703-1320
Mailing Address1635 Josephine StBerkeley, CA 94703-1320 · (415) 454-1469
Organization SubpartNo
Authorized OfficialChristopher RoachSupervisor · (415) 454-1460
Enumeration DateJuly 29, 2013
NPI 1710329925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

1635 JOSEPHINE ST, Berkeley, CA 94703

Other Identifiers 1

OtherLCS14462CA · Lcsw

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, CA
Expired · Jul 15, 2026
CLIA Number05D0858103
Laboratory TypePrison
Certificate Effective DateJuly 16, 2024
Certificate Expiration DateJuly 15, 2026
Laboratory DirectorAlison Pachynski
Laboratory Phone(415) 454-1460
Laboratory LocationSan Quentin Rehabilitation Center1 Main St, San Quentin, CA 94964
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
1635 JOSEPHINE ST
BERKELEY, CA 94703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710329925, enumerated as an "organization" on July 29, 2013.

The provider is located at 1635 JOSEPHINE ST BERKELEY, CA 94703 and the phone number is (415) 454-1469.

Case Management with taxonomy code 251B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.