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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
Street Address |
1650 WALNUT ST |
City | BERKELEY |
State | CA |
Zip Code | 94709-1606 |
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 |
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 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 |
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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.