BEVORLY FHAMORE CAIN-BERK (NPI# 1245343573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245343573 |
| Entity Type | Individual |
| Full Name | BEVORLY FHAMORE CAIN-BERK |
| Other Name | BEVORLY FHAMORE CAIN |
| Credential | N.P. |
| Practice Address |
4105 Timberline Dr San Jose CA 95121-1033 |
| Practice Telephone | 4086201166 |
| Practice Fax Number | 4089125340 |
| Mailing Telephone | 4086201166 |
| Mailing Fax Number | 4089125340 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN614337 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NP 14109 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4105 TIMBERLINE DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95121-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922669597 | Tracy Filler, Dmd, Inc. | Dentist | 1569 Lexann Drive, Suite 202, San Jose, CA 95121 | 2019-06-25 |
| 1508422775 | Tri Starr Home Care LLC | PACE Provider Organization | 1669 Flanigan Dr., Unit H, San Jose, CA 95121 | 2019-05-14 |
| 1538681325 | Sujata S Gawande | Dentist | 2060 Aborn Rd Ste 125, San Jose, CA 95121 | 2017-07-12 |
| 1871950188 | Keiana Harrington | Behavioral Analyst | 6958 Del Rio Dr., San Jose, CA 95121 | 2016-01-19 |
| 1679812556 | Hien Van Nguyen | Pediatrics | 1675 Burdette Dr, Ste #20, San Jose, CA 95121 | 2013-02-12 |
| 1013290766 | Minh V Nguy | Dentist | 3161 Senter Road, San Jose, CA 95121 | 2011-09-20 |
| 1528388139 | Vu V. Le Chiro | Chiropractor | 1059 E. Capitol Expressway, San Jose, CA 95121 | 2010-06-04 |
| 1205087012 | Lanni Huynh | Acupuncturist | 2936 Aborn Square, San Jose, CA 95121 | 2008-10-10 |
| 1598936676 | Soumya Shivanna | Dentist | 1620 E.capitol Expressway, Suite C, San Jose, CA 95121 | 2008-03-18 |
| 1144434903 | Jeremy D. Lai | Pharmacist | 1569 Lexann Avenue, Suite 104, San Jose, CA 95121 | 2007-05-10 |
| Find all providers in zip 95121 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508067851 | Emily Chien | Nurse Practitioner | 6417 Trinidad Dr, San Jose, CA 95120-2824 | 2007-05-31 |
| 1619182565 | Aurelia Gutierrez-long | Nurse Practitioner | Oleai Business Center, 1st Floor, Suite 108-112, San Jose, GU 96950 | 2007-05-14 |
| 1558409581 | Elizabeth Anne Yznaga | Nurse Practitioner | 250 Inernational Parkway, Kaiser Santa Teresa Hospital, San Jose, CA 95119 | 2007-02-02 |
| 1740277474 | Anjali Jagdish Javdekar | Nurse Practitioner | 3618 Klein Ct, San Jose, CA 95148-2251 | 2005-09-27 |
| 1235123654 | Monica Denise Tercero | Nurse Practitioner | 256 International Circle, San Jose, CA 95119-0000 | 2005-08-31 |
| 1467083766 | Julianne M Cerelli | Nurse Practitioner | 3131 Alum Rock Ave, San Jose, CA 95127-2902 | 2020-01-27 |
| 1760035612 | Rosalie Margaret Elkinton | Nurse Practitioner | 3131 Alum Rock Ave, San Jose, CA 95127-2902 | 2019-07-19 |
| 1619220167 | Manelisa Felix Uy | Nurse Practitioner | 2400 Samaritan Dr, San Jose, CA 95124-3910 | 2012-10-22 |
| 1851526248 | Wendy Dianne Ostrow | Nurse Practitioner | 1691 The Alameda, San Jose, CA 95126-2203 | 2009-05-28 |
| 1386802569 | Janet So-yung Yun | Nurse Practitioner | 1691 The Alameda, San Jose, CA 95126-2203 | 2008-05-24 |
| Find all providers in SAN JOSE | ||||
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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.