Healthcare Provider Details

I. General information

NPI: 1316852049
Provider Name (Legal Business Name): COMMONKIND CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1935 ADDISON ST STE A
BERKELEY CA
94704-1354
US

IV. Provider business mailing address

1145 HILLVIEW RD
BERKELEY CA
94708-1705
US

V. Phone/Fax

Practice location:
  • Phone: 707-646-9359
  • Fax:
Mailing address:
  • Phone: 707-646-9359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: TAMAR LEAH JEHAN SAMUELS
Title or Position: FOUNDER
Credential: RDN
Phone: 917-705-9839