IndividualActive
Earvin Jay Tanedo
NPI 1093545089 · Specialist · Berkeley, CA
Earvin Jay Tanedo is a Specialist provider in Berkeley, CA (NPI 1093545089).
Provider details
- NPI number
- 1093545089
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2640 Martin Luther King Jr Way
Berkeley, CA 94704-3238
Phone: (510) 714-0996
Street-level locationGet directions
Mailing address
6522 Telegraph Ave
Oakland, CA 94609-1114
Registry dates
- Enumerated
- 2024-08-05
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Frequently asked questions
- What is Earvin Jay Tanedo's NPI number?
- Earvin Jay Tanedo's National Provider Identifier (NPI) is 1093545089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Earvin Jay Tanedo's specialty?
- Earvin Jay Tanedo is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Earvin Jay Tanedo located?
- Earvin Jay Tanedo's practice location on file with NPPES is 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238.
- What is Earvin Jay Tanedo's phone number?
- The practice phone number listed in the NPPES registry for Earvin Jay Tanedo is (510) 714-0996.
- Is Earvin Jay Tanedo's NPI active?
- Yes — Earvin Jay Tanedo's NPI (1093545089) is active in the NPPES registry as of the last update on 2024-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.