| Randy E Bergen, MD | |
| 1425 S Main St, Walnut Creek, CA 94596-5318 | |
| (925) 295-4000 | |
| Not Available | 
| Full Name | Randy E Bergen | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Infectious Diseases | 
| Location | 1425 S Main St, Walnut Creek, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316025497 | NPI | - | NPPES | 
| 00G529160 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | G52916 (California) | Primary | 
| Entity Name | Permanente Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Randy E Bergen, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Randy E Bergen, MD 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-4000 | 
| Bradley William Zerweck, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Jmmc 3-east, 1601 Ygnacio Valley Road, Walnut Creek, CA 94598 Phone: 925-941-5270 | |
| Cathy C. Dugan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
| Dr. Marc S Usatin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 440 Bridge Rd, Walnut Creek, CA 94595 Phone: 925-209-0100 | |
| Rahul K. Parikh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
| Krisha Nayak, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
| Dr. Kathleen Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1450 Treat Blvd, Suite 140, Walnut Creek, CA 94597 Phone: 925-296-9770 Fax: 925-296-9092 | |
| Dr. Tessie A Okamura, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1450 Treat Blvd, Suite 140, Walnut Creek, CA 94597 Phone: 925-296-9770 Fax: 925-296-9092 |