DR. AMY LI MATECKI (NPI# 1770571077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770571077 |
| Entity Type | Individual |
| Full Name | DR. AMY LI MATECKI |
| Other Name | DR. YING LI |
| Credential | M.D. |
| Practice Address |
2001 Dwight Way Berkeley CA 94704-2608 |
| Practice Telephone | 5102042077 |
| Practice Fax Number | 5102042085 |
| Mailing Telephone | 5102042077 |
| Mailing Fax Number | 5102042085 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2009-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A80747 | CA | Other Service Providers |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A80747 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2001 DWIGHT WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738805 | Bay Area Rehabilitation Medical Group | Physical Medicine & Rehabilitation | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2005-05-27 |
| 1366083545 | Jamba Dolkar Tenzing | Nurse Practitioner | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2019-09-30 |
| 1013401983 | Lindsey Olander | Speech-Language Pathologist | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2018-06-14 |
| 1447604814 | Sutter Bay Hospitals | Psychiatric Unit | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2016-04-21 |
| 1235583360 | Mariam Kamyab | Registered Nurse | 2001 Dwight Way, Ste 1388, Berkeley, CA 94704-2608 | 2016-04-14 |
| 1336529106 | Alta Bates Summit Medical Center | Clinic/Center | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2015-06-05 |
| 1538563614 | Sutter East Bay Hospitals | Pharmacy | 2001 Dwight Way, Suite 2182, Berkeley, CA 94704-2608 | 2014-10-17 |
| 1821405192 | Altabates Comprehensive Cancer Center | Clinic/Center | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2014-07-17 |
| 1942624408 | Karri Kennedy | Occupational Therapist | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2014-02-04 |
| 1740611375 | Rebecca Hummel-moore | Nurse Practitioner | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2013-12-08 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in BERKELEY | ||||
Please comment or provide details below to improve the information on DR. AMY LI MATECKI.
| 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.