CORNELIA M PESSOA, MD (NPI# 1760675656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760675656 |
| Entity Type | Organization |
| Organization Name | CORNELIA M PESSOA, MD |
| Other Organization Name | DERMATOLOGY ASSOCIATES OF BERKELEY |
| Practice Address |
2500 Milvia St Suite 104 Berkeley CA 94704-2636 |
| Practice Telephone | 5104861700 |
| Practice Fax Number | 5104861133 |
| Mailing Telephone | 5104861700 |
| Mailing Fax Number | 5104861133 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2010-01-27 |
| Authorized Official Name | DR. CORNELIA MOURA PESSOA (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 5104861700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G60130 | CA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| DERMATOLOGY ASSOCIATES OF BERKELEY | Doing Business As Name - Organization |
| Street Address |
2500 MILVIA ST SUITE 104 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760841282 | Seyed Morteza Niknia | Specialist | 638 Gravatt Dr, Berkeley, CA 94705-1644 | 2016-02-11 |
| 1114204252 | Christopher William Beatty | Specialist | 1817 Rose St, Berkeley, CA 94703-1117 | 2011-11-03 |
| 1336469519 | Sarah Elise Bennett | Specialist | 663 Colusa Ave, Berkeley, CA 94707-1517 | 2010-06-10 |
| 1710215298 | Beth Alisa Baron | Specialist | 2428 Dwight Way Ste 9, Berkeley, CA 94704-2399 | 2009-11-22 |
| 1255549010 | Melvin Anthony Terry | Specialist | Tang Ctr, 2222 Bancroft Way, Berkeley, CA 94720-4300 | 2007-05-17 |
| 1275653537 | Bennett F. Markel | Specialist | 1519 Oxford St, Apt L, Berkeley, CA 94709-1542 | 2007-03-30 |
| 1316075427 | Shelby Chandler | Specialist | 2935 King St, Berkeley, CA 94703-2129 | 2007-03-01 |
| 1235264904 | Ralph V Pericoli | Specialist | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-02-22 |
| 1275619330 | Berkeley Urological Associates | Specialist | 2999 Regent Street Suite 612, Berkeley, CA 94705 | 2006-10-31 |
| 1457441990 | Frank Osborne Brown IIi | Specialist | 2901 Adeline St, Berkeley, CA 94703-2502 | 2006-10-13 |
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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.