ROXANNE FISCELLA, M.D. (NPI# 1063671386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063671386 |
| Entity Type | Organization |
| Organization Name | ROXANNE FISCELLA, M.D. |
| Practice Address |
2500 Milvia St Suite 116 Berkeley CA 94704-2636 |
| Practice Telephone | 5108430692 |
| Practice Fax Number | 5108433230 |
| Mailing Telephone | 5108430692 |
| Mailing Fax Number | 5108433230 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | DR. ROXANNE CLAIRE FISCELLA (MEDICAL DOCTOR) |
| Authorized Official Telephone | 5108430692 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | G42958 | CA | Other Service Providers |
| Street Address |
2500 MILVIA ST SUITE 116 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-2636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770571903 | Jonathan Noble | Internal Medicine | 2500 Milvia St, Suite 218, Berkeley, CA 94704-2636 | 2005-10-11 |
| 1043753957 | Stephanie Guest | Nurse Practitioner | 2500 Milvia St, Berkeley, CA 94704-2636 | 2016-11-24 |
| 1477972917 | Melanie Manaku | Internal Medicine | 2500 Milvia St, Berkeley, CA 94704-2636 | 2014-04-14 |
| 1578992285 | Jennifer Madeline Owen | Family Medicine | 2500 Milvia St, Berkeley, CA 94704-2636 | 2013-11-03 |
| 1619311453 | Rebecca L Taub | Obstetrics & Gynecology | 2500 Milvia St, Berkeley, CA 94704 | 2013-04-23 |
| 1770822116 | Haruka Kelley | Nurse Practitioner | 2500 Milvia St, Berkeley, CA 94704 | 2013-02-05 |
| 1932469889 | Samara S. Nebenzahl | Family Medicine | 2500 Milvia St, Berkeley, CA 94704-2636 | 2012-05-25 |
| 1255656187 | Cindy Erxin Zhang | Obstetrics & Gynecology | 2500 Milvia St, Berkeley, CA 94704-2636 | 2010-04-03 |
| 1447587290 | Pavithra Venkat | Obstetrics & Gynecology | 2500 Milvia St, Berkeley, CA 94704-2636 | 2009-11-13 |
| 1649433178 | Kelse Patrice Mckinley | Family Medicine | 2500 Milvia St, Berkeley, CA 94704 | 2008-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831659945 | Christopher C Duong | Legal Medicine | 2114 Pullman Ln # B, Redondo Beach, CA 90278-4914 | 2019-03-24 |
| 1538694088 | Manohar Sukumar | Legal Medicine | 601 W Civic Center Dr, 601 Civic Center Drive West, Santa Ana, CA 92701-4002 | 2017-04-21 |
| 1316471402 | Comp Legal Medical Group | Legal Medicine | 71 Bryson Dr, Sutter Creek, CA 95685-4115 | 2017-04-14 |
| 1003358375 | Globilling Inc | Legal Medicine | 5230 Las Virgenes Rd Ste 210, Calabasas, CA 91302-3448 | 2016-11-17 |
| 1124560172 | Exam-docs Dba Forensic Med Group | Legal Medicine | 960 E Alosta Ave # 203, Azusa, CA 91702-2709 | 2016-11-08 |
| 1770937393 | Lynn Barkley Burnett | Legal Medicine | 1336 N Wishon Ave, Fresno, CA 93728-2316 | 2016-04-20 |
| 1407218936 | Jose A Zepeda | Legal Medicine | 1266 Pepper Dr, El Centro, CA 92243-4302 | 2016-03-23 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1982077269 | Elite Surgical Clinic, Medical Corporation | Legal Medicine | 1510 S. Central Ave., Suite 100, Glendale, CA 91204-2582 | 2015-11-09 |
| 1669841995 | Injury Center Medical Group Inc | Legal Medicine | 432 E Redlands Blvd, Suite C, San Bernardino, CA 92408-3718 | 2015-09-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.