PETRA FROEHLICH LANDMAN (NPI# 1144336355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144336355 |
| Entity Type | Individual |
| Full Name | PETRA FROEHLICH LANDMAN |
| Other Name | PETRA N FROEHLICH |
| Credential | MD |
| Practice Address |
2500 Milvia St Berkeley CA 94704-2636 |
| Mailing Address |
2350 W El Camino Real Fl 2 Mountain View CA 94040-6203 |
| Practice Telephone | 5102045600 |
| Practice Fax Number | 5102045462 |
| Mailing Telephone | 5102045600 |
| Mailing Fax Number | 5102045462 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G60639 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LICENSE | G60639 | 01 |
| CA | FEDERAL DEA LICENSE | AL3210375 | 01 |
| CA | 00G606390 | 05 |
| Street Address |
2500 MILVIA ST |
| 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 |
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| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275097271 | Robert H Dorsett | Pediatrics | 2817 Cherry St, Berkeley, CA 94705-2309 | 2019-01-24 |
| 1033487160 | Aurora Mcallister | Pediatrics | 1415 Stannage Ave, Berkeley, CA 94702-1031 | 2011-12-03 |
| 1659676153 | Elmer R. Grossman | Pediatrics | 899 Euclid Ave, Berkeley, CA 94708-1305 | 2011-01-14 |
| 1801032990 | Florence Cynthia Kuyt | Pediatrics | 2731 Benvenue Ave, Berkeley, CA 94705-1201 | 2008-12-19 |
| 1811197908 | Katherine Johnston | Pediatrics | 116 The Uplands, Berkeley, CA 94705-2817 | 2007-07-18 |
| 1164562864 | Janet M. Berreman | Pediatrics | 830 University Ave, Berkeley, CA 94710-2044 | 2007-02-08 |
| 1891847547 | Ann L. Parker | Pediatrics | 900 Colusa Ave, Berkeley, CA 94707-2319 | 2007-01-16 |
| 1740374404 | Myles B. Abbott | Pediatrics | 2999 Regent St., Suite 325, Berkeley, CA 94705-2118 | 2006-10-03 |
| 1447267414 | Jane Emily Hunter | Pediatrics | 2320 Woosley Street, Suite 301, Berkeley, CA 94705 | 2006-08-02 |
| 1558382242 | Elaine E Davenport | Pediatrics | 1321 Mcgee Ave, Berkeley, CA 94703-1005 | 2006-07-21 |
| Find all providers in BERKELEY | ||||
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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.