Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eli Vickery

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245065010

Eli Vickery is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2130 Center St Ste 200
Berkeley, CA 94704-1386
Phone: (510) 548-8283
Fax: (510) 548-2938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1245065010
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address2130 Center St Ste 200, Berkeley, CA 94704-1386

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