GLORIA ALEXIS VILLEGAS EIDE
NPI 1720461346
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since June 30, 2015PECOS Enrolled
3075 ADELINE ST STE 120, BERKELEY, CA 94703(510) 848-1112 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gloria Alexis Villegas Eide NPPES

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

GLORIA ALEXIS VILLEGAS EIDE (NPI 1720461346) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720461346
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGLORIA ALEXIS VILLEGAS EIDE
Location Address3075 ADELINE ST STE 120Berkeley, CA 94703-2579
Mailing Address3075 Adeline St Ste 120Berkeley, CA 94703-2579 · (510) 848-1112
Sole ProprietorNo
Enumeration DateJune 30, 2015
Last NPPES UpdateSeptember 12, 2018
NPI 1720461346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3075 ADELINE ST STE 120, Berkeley, CA 94703

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gloria Alexis Villegas Eide is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Counselor (Mental Health)
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Marriage & Family Therapist
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Psychologist (Clinical)
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Occupational Therapist
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Counselor
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720461346, enumerated as an "individual" on June 30, 2015.

The provider is located at 3075 ADELINE ST STE 120 BERKELEY, CA 94703 and the phone number is (510) 848-1112.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.