MR. KEITH T BERSCH (NPI# 1598141921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598141921 |
| Entity Type | Individual |
| Full Name | MR. KEITH T BERSCH |
| Credential | P.A.C. |
| Practice Address |
27206 Calaroga Ave Ste 107 Hayward CA 94545-4300 |
| Mailing Address |
39350 Civic Center Dr Ste 300 Fremont CA 94538-2331 |
| Practice Telephone | 5103009898 |
| Mailing Telephone | 5108182000 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 52639 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
27206 CALAROGA AVE STE 107 |
| City | HAYWARD |
| State | CA |
| Zip Code | 94545-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295394476 | Lily Yu | Pharmacist | 3160 Corporate Place, Hayward, CA 94545 | 2019-06-11 |
| 1093285660 | Ana Alvarez | Behavior Technician | 24301 Southland Dr. Ste 410, Hayward, CA 94545 | 2018-11-27 |
| 1992201958 | Jasramin Dillon Chatha | Licensed Vocational Nurse | 23648 Saklan Road, Hayward, CA 94545 | 2018-03-30 |
| 1760985105 | Monika Milda Barta | Student in an Organized Health Care Education/Training Program | 24333 Southland Dr, Hayward, CA 94545 | 2018-03-12 |
| 1003329210 | Brian Anh Lu | Pharmacist | 3121 Diablo Avenue, Hayward, CA 94545 | 2017-11-09 |
| 1528415957 | Aic Health Care, Inc. | Intermediate Care Facility, Mentally Retarded | 27489 Portsmouth Ave, Hayward, CA 94545 | 2016-05-16 |
| 1568889723 | Jenny Tran | Nurse Practitioner | 24700 Calaroga Avenue, Suite 103, Hayward, CA 94545 | 2014-03-26 |
| 1306261573 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1976 Elder Way, Hayward, CA 94545 | 2014-02-25 |
| 1699110130 | Seneca Family of Agencies | Community/Behavioral Health | 26601 Calaroga Ave, Hayward, CA 94545 | 2013-05-09 |
| 1235401530 | Onlyserve, Inc. | Home Health | 3423 Investment Boulevard #1, Hayward, CA 94545 | 2012-02-01 |
| Find all providers in zip 94545 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174231 | Frank Crespo | Physician Assistant | 18246 Robscott Ave, Hayward, CA 94541-2242 | 2020-08-14 |
| 1912539271 | Crystal Adriana Padilla | Physician Assistant | 809 Hampton Rd, Hayward, CA 94541-1421 | 2020-02-05 |
| 1548508369 | Marzia Mujaddide | Physician Assistant | 27171 Calaroga Ave Ste 3, Hayward, CA 94545-4344 | 2013-01-29 |
| 1184781973 | Tracy Ellen Fearnside | Physician Assistant | 680 W. Tennyson Rd., Silva Clinic, Hayward, CA 94544 | 2007-01-02 |
| 1740370584 | Kristof Piotr Kaminski | Physician Assistant | 21297 Foothill Blvd Ste 201, Hayward, CA 94541-1554 | 2006-10-13 |
| 1609986280 | Jamie Lea Taylor Bell | Physician Assistant | 11134 N State Road 77, Hayward, WI 54843-5325 | 2006-08-30 |
| 1568075869 | Veronica Wire | Physician Assistant | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2020-08-26 |
| 1760034193 | Barbara L Bowman | Physician Assistant | 11040 N State Road 77, Hayward, WI 54843 | 2019-07-16 |
| 1255842639 | Spencer Knapp | Physician Assistant | 27200 Calaroga Ave, Hayward, CA 94545-4339 | 2017-10-12 |
| 1992227805 | Johanna Ho | Physician Assistant | 27200 Calaroga Ave, Hayward, CA 94545-4339 | 2017-07-12 |
| Find all providers in HAYWARD | ||||
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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.