MEDICARE: CHAPARRAL FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	020000156	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659366771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAPARRAL FOUNDATION

Provider Business Mailing Address
First Line	:	1309 ALLSTON WAY
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94702-1920
Country	:	US
Telephone Number	:	510-848-8774
Fax Number	:	510-848-2438

Provider Business Practice Location Address
First Line	:	1309 ALLSTON WAY
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94702-1920
Country	:	US
Telephone Number	:	510-848-8774
Fax Number	:	510-848-2438

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DR. KJ PAGE
Credential	:	RN, NHA, ND
Telephone Number	:	510-848-8774

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	08/11/2014

Similar Medicare Providers

1861704033 — CHERYL ELVERTA SILVA
Practice Location Address:

1309 ALLSTON WAY
BERKELEY, CA
94702-1920

Practice Phone: 510-848-8774
Practice Fax:

1457981201 — MRS. JOAN E.R. PORTO OTR/L
Practice Location Address:

1309 ALLSTON WAY
BERKELEY, CA
94702-1920

Practice Phone: 510-848-8774
Practice Fax: 510-848-2438

1992493555 — BAY AREA REHAB SPECIALISTS LLC
Practice Location Address:

1309 ALLSTON WAY
BERKELEY, CA
94702-1920

Practice Phone: 510-848-8774
Practice Fax:

1821236787 — DR. STEPHEN KANE DDS
Practice Location Address:

856 CONTRA COSTA AVE
BERKELEY, CA
94707-1920

Practice Phone: 510-501-9501
Practice Fax:

1497139307 — THE ARC OF UNION COUNTY
Practice Location Address:

640 PLAINFIELD AVE
BERKELEY HEIGHTS, NJ
07922-1920

Practice Phone: 973-315-0000
Practice Fax: 973-315-0002

1831852011 — KRISTINA MARIE MODESTE LMFT
Practice Location Address:

3220 SACRAMENTO ST
BERKELEY, CA
94702-2726

Practice Phone: 669-234-8196
Practice Fax:

Directions to “CHAPARRAL FOUNDATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.