BERKELEY PEDIATRIC MEDICAL GROUP, INC.


Address: 1650 Walnut St, Berkeley, CA 94709-1606
Phone: 5108482566

BERKELEY PEDIATRIC MEDICAL GROUP, INC. (NPI# 1407873425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407873425
Entity Type Organization
Organization Name BERKELEY PEDIATRIC MEDICAL GROUP, INC.
Practice Address 1650 Walnut St
Berkeley
CA 94709-1606
Practice Telephone 5108482566
Mailing Telephone 5108482566
Enumeration Date 2006-07-16
Last Update Date 2020-08-22
Authorized Official Name EYDIE TALAVERA (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 5108482566
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Office Location

Street Address 1650 WALNUT ST
City BERKELEY
State CA
Zip Code 94709-1606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598200503 Hazel Hiroshima Nurse Practitioner 1650 Walnut St, Berkeley, CA 94709-1606 2016-12-29
1013232925 Katrina Elizabeth Michel Pediatrics 1650 Walnut St, Berkeley, CA 94709-1606 2010-04-02
1073652624 Lisa S Kalar Pediatrics 1650 Walnut St, Berkeley, CA 94709-1606 2007-02-06
1225058290 James G Cuthbertson Pediatrics 1650 Walnut St, Berkeley, CA 94709-1606 2006-07-20
1134149156 Olivia Lang Pediatrics 1650 Walnut St, Berkeley, CA 94709-1606 2006-07-20
1609896661 Annemary Franks Pediatrics 1650 Walnut St, Berkeley, CA 94709-1606 2006-07-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144868647 Komalpreet Kaur Pharmacist 1444 Shattuck Place, Berkeley, CA 94709 2019-12-16
1689189763 Lynn Rubin Marriage & Family Therapist 1524 Henry St., Berkeley, CA 94709 2017-12-11
1750825154 Stacy Taniguchi Psychologist 2000 Hearst Ave Ste 207, Berkeley, CA 94709 2016-12-05
1558804708 Tylynn Ludwig Dietitian, Registered 1525 Shattuck Ave Ste G, Berkeley, CA 94709 2016-11-21
1528316171 Leeat Zwick-louvton Physical Therapist 2209 Glen Ave, Berkeley, CA 94709 2012-08-29
1497016588 City of Berkeley Case Management 1901 Hearst Street, Berkeley, CA 94709 2012-06-05
1841591914 Dana Carr Psychologist 1078 Shattuck Avenue, #6, Berkeley, CA 94709 2010-11-05
1568639565 Harry Joseph Lieberman Marriage & Family Therapist 1933 Rose St, Berkeley, CA 94709 2008-05-09
1780806935 Martha W Knobler Marriage & Family Therapist 2045 Francisco Street, Berkeley, CA 94709 2007-05-03
1578690830 Alice H Brown Counselor 1607 Walnut Street # One, Berkeley, CA 94709 2007-02-27
Find all providers in zip 94709

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City BERKELEY
Zip Code 94709

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Dataset Information

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.

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