1497428049 NPI number — VERA LIFE

Table of content: (NPI 1497428049)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497428049 NPI number — VERA LIFE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VERA LIFE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497428049
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/29/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1515 PINE ST APT 3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94109-4643
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-931-2517
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2151 BERKELEY WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BERKELEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94720-2502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-664-9073
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/29/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
COFFEY
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
JAMES
Authorized Official Title or Position:
FOUNDER AND CEO
Authorized Official Telephone Number:
415-931-2517

Provider Taxonomy Codes

  • Taxonomy code: 207SG0203X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)