Healthcare Provider Details

I. General information

NPI: 1821907072
Provider Name (Legal Business Name): WILLIAM THOMSEN FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 ALBINA AVE # 3
BERKELEY CA
94706-2526
US

IV. Provider business mailing address

1304 ALBINA AVE # 3
BERKELEY CA
94706-2526
US

V. Phone/Fax

Practice location:
  • Phone: 650-387-8269
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number95300277
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: