Healthcare Provider Details

I. General information

NPI: 1194274795
Provider Name (Legal Business Name): TANYA ORGILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2016
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 HOPKINS ST
BERKELEY CA
94707-2717
US

IV. Provider business mailing address

4100 REDWOOD RD
OAKLAND CA
94619-2363
US

V. Phone/Fax

Practice location:
  • Phone: 510-969-9526
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number15728
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: