| Carbon Health Medical Group Of California Pc | |
|
2920 Telegraph Ave Berkeley CA 94705-2031 | |
| (510) 686-3621 | |
| Not Available |
| Full Name | Carbon Health Medical Group Of California Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2920 Telegraph Ave, Berkeley, California |
| Authorized Official Name and Position | Marley Page (DIRECTOR) |
| Authorized Official Contact | 4178619739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbon Health Medical Group Of California Pc 2100 Franklin St Ste 355 Oakland CA 94612-3140 Ph: () - | Carbon Health Medical Group Of California Pc 2920 Telegraph Ave Berkeley CA 94705-2031 Ph: (510) 686-3621 |
| NPI Number | 1417294232 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 05/14/2026 |
| Medicare PECOS PAC ID | 9032340047 |
|---|---|
| Medicare Enrollment ID | O20140314001276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417294232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Joel S Kahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255371423 PECOS PAC ID: 0648179317 Enrollment ID: I20040102000278 |
| Provider Name | Alicia Haglund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760449581 PECOS PAC ID: 0042109001 Enrollment ID: I20040316001065 |
| Provider Name | Sujal Mandavia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992791164 PECOS PAC ID: 0042204687 Enrollment ID: I20040415000710 |
| Provider Name | Arnold S Cruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487682514 PECOS PAC ID: 6901878800 Enrollment ID: I20040811000416 |
| Provider Name | Rajiv Pramanik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346323094 PECOS PAC ID: 7113987017 Enrollment ID: I20041014001064 |
| Provider Name | Joey Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538137013 PECOS PAC ID: 7012971419 Enrollment ID: I20041116000399 |
| Provider Name | Kellie J Amador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164477683 PECOS PAC ID: 0042276891 Enrollment ID: I20041203000570 |
| Provider Name | Henry M Schumaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326083197 PECOS PAC ID: 5193781698 Enrollment ID: I20041207000274 |
| Provider Name | Harry B Andrews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295865426 PECOS PAC ID: 3870539455 Enrollment ID: I20050705000991 |
| Provider Name | Siu-ping Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437128055 PECOS PAC ID: 7113954462 Enrollment ID: I20050719000756 |
| Provider Name | Tom L Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669547006 PECOS PAC ID: 6204864887 Enrollment ID: I20050803001255 |
| Provider Name | Christopher L Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922041235 PECOS PAC ID: 2860410867 Enrollment ID: I20051108000921 |
| Provider Name | Marcella M Jaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902858483 PECOS PAC ID: 5395748602 Enrollment ID: I20060804000365 |
| Provider Name | Erick Ruiz Miranda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669597167 PECOS PAC ID: 9335231398 Enrollment ID: I20070822000601 |
| Provider Name | Andrelyn C Almario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124233176 PECOS PAC ID: 7012006745 Enrollment ID: I20071204000355 |
| Provider Name | Caesar Djavaherian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790760551 PECOS PAC ID: 3577654417 Enrollment ID: I20080922000228 |
| Provider Name | Serena K Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285847665 PECOS PAC ID: 3274694799 Enrollment ID: I20081202000854 |
| Provider Name | Ela Grigorian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598937468 PECOS PAC ID: 9537222179 Enrollment ID: I20090108000484 |
| Provider Name | Colin X Jairam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821272295 PECOS PAC ID: 7810052719 Enrollment ID: I20090209000683 |
| Provider Name | Jodean Nicolette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962599720 PECOS PAC ID: 0941272850 Enrollment ID: I20090902000253 |
| Provider Name | Gul Iram Anwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225234974 PECOS PAC ID: 9537209903 Enrollment ID: I20091215000481 |
| Provider Name | Judi Ann D Meindl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649210451 PECOS PAC ID: 5193860393 Enrollment ID: I20100226000292 |
| Provider Name | Stanton T Emerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033184452 PECOS PAC ID: 5193911394 Enrollment ID: I20110308000892 |
| Provider Name | Rajinder K Sekhon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710117924 PECOS PAC ID: 2860679099 Enrollment ID: I20110615000502 |
| Provider Name | Linda M Hunt |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366401572 PECOS PAC ID: 4284808684 Enrollment ID: I20111121000967 |
| Provider Name | Ariella Jessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609161132 PECOS PAC ID: 4981871696 Enrollment ID: I20120120000689 |
| Provider Name | Venkataramana K Nalluri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972786275 PECOS PAC ID: 0941493209 Enrollment ID: I20120127000235 |
| Provider Name | Waraporn Denjalearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669760310 PECOS PAC ID: 2769654714 Enrollment ID: I20121101000294 |
| Provider Name | Ami Narayan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962774935 PECOS PAC ID: 6002051133 Enrollment ID: I20130320000665 |
| Provider Name | Karen J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427391820 PECOS PAC ID: 4284869413 Enrollment ID: I20131024001074 |
| Provider Name | Allison L Devers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144308263 PECOS PAC ID: 3274531363 Enrollment ID: I20131122000862 |
| Provider Name | Joanna S Josue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114356789 PECOS PAC ID: 8921231432 Enrollment ID: I20140508000941 |
| Provider Name | Wilson Mak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922427665 PECOS PAC ID: 2961626304 Enrollment ID: I20140605000432 |
| Provider Name | Debra L Kabaivanoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831198597 PECOS PAC ID: 0446254932 Enrollment ID: I20150115002050 |
| Provider Name | Christine M Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649556309 PECOS PAC ID: 3577882356 Enrollment ID: I20150428002462 |
| Provider Name | Deborah C Umeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790163871 PECOS PAC ID: 4688988561 Enrollment ID: I20150805009062 |
| Provider Name | Grace Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026050 PECOS PAC ID: 0244530517 Enrollment ID: I20151118002950 |
| Provider Name | Lori Katnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124499413 PECOS PAC ID: 1557661436 Enrollment ID: I20151125000614 |
| Provider Name | Jennifer N Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124419742 PECOS PAC ID: 7810297371 Enrollment ID: I20151204002505 |
| Provider Name | Neeru K Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669672424 PECOS PAC ID: 8820122708 Enrollment ID: I20151230002140 |
| Provider Name | Niccole Blanchet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174996839 PECOS PAC ID: 8820395783 Enrollment ID: I20160321002569 |
| Provider Name | Euna Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184974859 PECOS PAC ID: 8820395593 Enrollment ID: I20160323001305 |
| Provider Name | Lisa G. Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083099 PECOS PAC ID: 0648578468 Enrollment ID: I20160412001352 |
| Provider Name | Edwin Kyunghun Kwon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487097846 PECOS PAC ID: 0648562801 Enrollment ID: I20160707002466 |
| Provider Name | Esther J Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114291291 PECOS PAC ID: 3870755275 Enrollment ID: I20160711001661 |
| Provider Name | Thomas H Heflin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568720332 PECOS PAC ID: 4183917206 Enrollment ID: I20160727002157 |
| Provider Name | Nicholas Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932546173 PECOS PAC ID: 9335432145 Enrollment ID: I20160801000518 |
| Provider Name | Roger Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801156799 PECOS PAC ID: 9537386750 Enrollment ID: I20160816002708 |
| Provider Name | Diksha Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467895201 PECOS PAC ID: 2264651777 Enrollment ID: I20160902000913 |
| Provider Name | Tach Hao Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487005443 PECOS PAC ID: 5092098152 Enrollment ID: I20170215001648 |
| Provider Name | Grace B Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386060234 PECOS PAC ID: 6800170903 Enrollment ID: I20170310000019 |
| Provider Name | Jennifer M Quail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538689310 PECOS PAC ID: 9931470317 Enrollment ID: I20170803000244 |
| Provider Name | Edward A Delos Trino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346773306 PECOS PAC ID: 2163793951 Enrollment ID: I20170814001035 |
| Provider Name | Tawny Grossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649666298 PECOS PAC ID: 2163795980 Enrollment ID: I20170830001003 |
| Provider Name | Elizabeth Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740726850 PECOS PAC ID: 3274809686 Enrollment ID: I20171030001038 |
| Provider Name | Gretchen Debbie Genato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245603174 PECOS PAC ID: 0547528572 Enrollment ID: I20171221001721 |
| Provider Name | Jenine K Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043688161 PECOS PAC ID: 9436411105 Enrollment ID: I20180315001971 |
| Provider Name | Elizabeth T Tirpak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306342860 PECOS PAC ID: 9234493511 Enrollment ID: I20180514002960 |
| Provider Name | Dianna C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033654447 PECOS PAC ID: 4284998576 Enrollment ID: I20180515000747 |
| Provider Name | Amy Dawn Causey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174049878 PECOS PAC ID: 4688939820 Enrollment ID: I20180517002153 |
| Provider Name | Lalita Poon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205328317 PECOS PAC ID: 0749537447 Enrollment ID: I20180726002342 |
| Provider Name | Geraldin Romis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053819961 PECOS PAC ID: 0345594404 Enrollment ID: I20181108002765 |
| Provider Name | Carolina Sciambia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710425814 PECOS PAC ID: 8729322540 Enrollment ID: I20181205003098 |
| Provider Name | Sukhdeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073089074 PECOS PAC ID: 6901142066 Enrollment ID: I20190109003458 |
| Provider Name | Michael Lee Burris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679012041 PECOS PAC ID: 2163765496 Enrollment ID: I20190529003046 |
| Provider Name | Robert P Gnat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386876712 PECOS PAC ID: 4486937539 Enrollment ID: I20190717000924 |
| Provider Name | Sarah Raffaelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508411497 PECOS PAC ID: 6507198678 Enrollment ID: I20191023002034 |
| Provider Name | Nathan J Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942720222 PECOS PAC ID: 7214208016 Enrollment ID: I20200114001200 |
| Provider Name | Mariel Alvarez Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477041853 PECOS PAC ID: 5991139693 Enrollment ID: I20200131001311 |
| Provider Name | Allison K Enomoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366080517 PECOS PAC ID: 2668808148 Enrollment ID: I20200218002701 |
| Provider Name | Tong M Luong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154839645 PECOS PAC ID: 0345677399 Enrollment ID: I20200306002522 |
| Provider Name | Hannah Rebecca Hochman Segal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184002073 PECOS PAC ID: 4385956788 Enrollment ID: I20200313001394 |
| Provider Name | Manish Saha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619201167 PECOS PAC ID: 1052595899 Enrollment ID: I20200413003242 |
| Provider Name | Astha Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427684166 PECOS PAC ID: 9830529023 Enrollment ID: I20200501001348 |
| Provider Name | Marisa Yanez Jayakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083142582 PECOS PAC ID: 7315360245 Enrollment ID: I20200709003167 |
| Provider Name | Maria Guadalupe Rojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710441001 PECOS PAC ID: 7012331028 Enrollment ID: I20200723002005 |
| Provider Name | Jessica Michelle Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811427347 PECOS PAC ID: 5294151361 Enrollment ID: I20200819003378 |
| Provider Name | Kate Jeromae S Fetalco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306456223 PECOS PAC ID: 3870911043 Enrollment ID: I20200921001552 |
| Provider Name | Kimberly Joiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477085314 PECOS PAC ID: 4385911775 Enrollment ID: I20200924002815 |
| Provider Name | Lana L Bordenkecher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215546833 PECOS PAC ID: 4385055318 Enrollment ID: I20201124001480 |
| Provider Name | Joseph A Molina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689195307 PECOS PAC ID: 7810260973 Enrollment ID: I20210126000388 |
| Provider Name | Chantal Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154929883 PECOS PAC ID: 8527473883 Enrollment ID: I20210218000958 |
| Provider Name | Angela Cassagne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548881618 PECOS PAC ID: 5890100705 Enrollment ID: I20210225003107 |
| Provider Name | Bri'andra I Grantham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982204533 PECOS PAC ID: 1951717149 Enrollment ID: I20210312002313 |
| Provider Name | Lena Kil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518565738 PECOS PAC ID: 3476960428 Enrollment ID: I20210318002082 |
| Provider Name | Tracy Nguyet-tran Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972137446 PECOS PAC ID: 9931517562 Enrollment ID: I20210421000720 |
| Provider Name | Loan Quynh Cao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881283240 PECOS PAC ID: 3678981933 Enrollment ID: I20210426002621 |
| Provider Name | Lorena Diaz-rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649869389 PECOS PAC ID: 6103235940 Enrollment ID: I20210507002331 |
| Provider Name | Cindy Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679120133 PECOS PAC ID: 8426455049 Enrollment ID: I20210924001028 |
| Provider Name | Crysten Grubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467052282 PECOS PAC ID: 3678964814 Enrollment ID: I20211227000531 |
| Provider Name | Daniela Hk Shon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013688738 PECOS PAC ID: 5890186969 Enrollment ID: I20211228000657 |
| Provider Name | Shaula Carbajal Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639753262 PECOS PAC ID: 2163816802 Enrollment ID: I20220223002093 |
| Provider Name | Stephanie Rigor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477217909 PECOS PAC ID: 3870987365 Enrollment ID: I20220226000216 |
| Provider Name | Desirae A Segura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477153278 PECOS PAC ID: 7517351042 Enrollment ID: I20220228001076 |
| Provider Name | Rachael Elizabeth Kahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376296004 PECOS PAC ID: 7911394788 Enrollment ID: I20220425002767 |
| Provider Name | Dorian Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003588914 PECOS PAC ID: 0547647794 Enrollment ID: I20220510001050 |
| Provider Name | Julia Hou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710635883 PECOS PAC ID: 7618354572 Enrollment ID: I20220513001846 |
| Provider Name | Jennifer Melcomian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487119491 PECOS PAC ID: 5395158364 Enrollment ID: I20220516002972 |
| Provider Name | Albert H Zhou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265991103 PECOS PAC ID: 8921485533 Enrollment ID: I20220520001759 |
| Provider Name | Yoon Kyu Sung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851853550 PECOS PAC ID: 9133509458 Enrollment ID: I20220705001435 |
| Provider Name | Lisa Tonelli Laguna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750928388 PECOS PAC ID: 6204223019 Enrollment ID: I20220728001968 |
| Provider Name | Lillian Mary Ghosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174284855 PECOS PAC ID: 1759763873 Enrollment ID: I20220804003746 |
| Provider Name | Erika M Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467103689 PECOS PAC ID: 8820471634 Enrollment ID: I20220811001168 |
| Provider Name | William Silas Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326664145 PECOS PAC ID: 1254715691 Enrollment ID: I20220901003363 |
| Provider Name | Nnenna N Ikegbu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801077680 PECOS PAC ID: 7315328291 Enrollment ID: I20220907001737 |
| Provider Name | Beth Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801531413 PECOS PAC ID: 1759767866 Enrollment ID: I20220927002510 |
| Provider Name | Katie Terese Liang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821519810 PECOS PAC ID: 8729464011 Enrollment ID: I20221011001273 |
| Provider Name | Kristine Amy Cavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588252662 PECOS PAC ID: 4284001595 Enrollment ID: I20221028002437 |
| Provider Name | Enrico Estrella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033506498 PECOS PAC ID: 8527376334 Enrollment ID: I20221102002473 |
| Provider Name | Rizwana Mollah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649625146 PECOS PAC ID: 0446629653 Enrollment ID: I20221210000298 |
| Provider Name | Amanda J Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891419073 PECOS PAC ID: 6103296124 Enrollment ID: I20230106002203 |
| Provider Name | Brandi Elyse Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134836133 PECOS PAC ID: 1759752777 Enrollment ID: I20230130000763 |
| Provider Name | Daniela Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396466496 PECOS PAC ID: 2769854256 Enrollment ID: I20230209001779 |
| Provider Name | David K Yoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003529314 PECOS PAC ID: 4587037155 Enrollment ID: I20230301001474 |
| Provider Name | Mary Ann Reveles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164149621 PECOS PAC ID: 6103290119 Enrollment ID: I20230314002222 |
| Provider Name | Christopher James Yan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285345124 PECOS PAC ID: 2264897917 Enrollment ID: I20230502001117 |
| Provider Name | Tylen Leyvas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548974637 PECOS PAC ID: 2860857455 Enrollment ID: I20230504000616 |
| Provider Name | Owen Liao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164192860 PECOS PAC ID: 2163888512 Enrollment ID: I20230510001311 |
| Provider Name | Oanh Hoang Nguyen Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467000463 PECOS PAC ID: 4789041641 Enrollment ID: I20230607003749 |
| Provider Name | Lillian Marie Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285391185 PECOS PAC ID: 5496112013 Enrollment ID: I20230613000688 |
| Provider Name | Katy Gene Gutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477241156 PECOS PAC ID: 4688032451 Enrollment ID: I20230627000683 |
| Provider Name | Alexis K Kahanu Leung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144858697 PECOS PAC ID: 6406215821 Enrollment ID: I20230703002163 |
| Provider Name | Allison M Dong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609565894 PECOS PAC ID: 3971963760 Enrollment ID: I20230712000212 |
| Provider Name | Megan Elyse Lawler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497472831 PECOS PAC ID: 0244690907 Enrollment ID: I20230713001986 |
| Provider Name | Dolly Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487386017 PECOS PAC ID: 3577923622 Enrollment ID: I20230720002303 |
| Provider Name | Hamid Ehsani Nia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952824872 PECOS PAC ID: 9830511120 Enrollment ID: I20230731003278 |
| Provider Name | Tracy Cornelia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346709011 PECOS PAC ID: 1355670753 Enrollment ID: I20230802003322 |
| Provider Name | Colton R Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285323295 PECOS PAC ID: 2365803558 Enrollment ID: I20230803004248 |
| Provider Name | Puja Regmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356029490 PECOS PAC ID: 4183086184 Enrollment ID: I20230808001278 |
| Provider Name | Francisca Turen Burgos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942927173 PECOS PAC ID: 9830568955 Enrollment ID: I20230830001915 |
| Provider Name | Kelley Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881232387 PECOS PAC ID: 0446688782 Enrollment ID: I20230913003634 |
| Provider Name | Jocelyn T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326667072 PECOS PAC ID: 9537523105 Enrollment ID: I20230914003334 |
| Provider Name | Hannah Ames Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972253748 PECOS PAC ID: 4082090311 Enrollment ID: I20231113001985 |
| Provider Name | Janet C Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487260113 PECOS PAC ID: 3375993785 Enrollment ID: I20231227003357 |
| Provider Name | Mira Paudel Neupane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265007884 PECOS PAC ID: 7113378852 Enrollment ID: I20240108003399 |
| Provider Name | Holly R Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285416123 PECOS PAC ID: 5799138871 Enrollment ID: I20240124004109 |
| Provider Name | Cassandra Lee King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053185686 PECOS PAC ID: 0345685426 Enrollment ID: I20240228002613 |
| Provider Name | Annie Y Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013189869 PECOS PAC ID: 0042656134 Enrollment ID: I20240312001097 |
| Provider Name | Clinton Joseph Born |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912367814 PECOS PAC ID: 8729425814 Enrollment ID: I20240325003516 |
| Provider Name | Jeremy E Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720660293 PECOS PAC ID: 4082052899 Enrollment ID: I20240328004088 |
| Provider Name | Wayne R Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053599464 PECOS PAC ID: 0143661777 Enrollment ID: I20240514003572 |
| Provider Name | Norma Jean Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427630417 PECOS PAC ID: 8022450311 Enrollment ID: I20240531003509 |
| Provider Name | Ebony Hillery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730822875 PECOS PAC ID: 9032651823 Enrollment ID: I20240607002285 |
| Provider Name | Jeanette M Davila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942544739 PECOS PAC ID: 1658816152 Enrollment ID: I20240709002176 |
| Provider Name | Linda Nnajiofor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144854209 PECOS PAC ID: 2860815735 Enrollment ID: I20240720000454 |
| Provider Name | Aadil H Vora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871081588 PECOS PAC ID: 6709135072 Enrollment ID: I20240723004517 |
| Provider Name | Aljo Batin Elizarde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730925074 PECOS PAC ID: 6103363783 Enrollment ID: I20240731003123 |
| Provider Name | Joshua Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932644036 PECOS PAC ID: 9133400146 Enrollment ID: I20240802003624 |
| Provider Name | Nancy Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518718105 PECOS PAC ID: 5991243214 Enrollment ID: I20240819001556 |
| Provider Name | Vedad Begic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437801156 PECOS PAC ID: 7012456627 Enrollment ID: I20240827004101 |
| Provider Name | Amanda Marie Pustilnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346910189 PECOS PAC ID: 2163958893 Enrollment ID: I20241205000462 |
| Provider Name | Kamaldeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033991203 PECOS PAC ID: 5092241596 Enrollment ID: I20241206002919 |
| Provider Name | Patrick O Eronini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568078079 PECOS PAC ID: 6204963788 Enrollment ID: I20241206003319 |
| Provider Name | Hannah Claus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043682461 PECOS PAC ID: 7517266463 Enrollment ID: I20241219002209 |
| Provider Name | Jennivy Rapanut Tabbay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093561664 PECOS PAC ID: 6406383934 Enrollment ID: I20241223002264 |
| Provider Name | Anna Polishchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447079447 PECOS PAC ID: 1153858691 Enrollment ID: I20241223002587 |
| Provider Name | Diana Ibarra Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093586604 PECOS PAC ID: 3274056528 Enrollment ID: I20250327003190 |
| Provider Name | Emily Ann Calabretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558167486 PECOS PAC ID: 7719400969 Enrollment ID: I20250327003201 |
| Provider Name | Tosca Talia Magnus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245043546 PECOS PAC ID: 7315460524 Enrollment ID: I20250328000999 |
Uhs Pharmacy Uc Berkeley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, Pharmacy; Room 1115, Berkeley, CA 94720 Phone: 510-642-3249 Fax: 510-642-5759 | |
Lori Shore Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2905 Telegraph Ave, Berkeley, CA 94705 Phone: 510-224-8141 Fax: 510-848-9970 | |
Berkeley General Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3017 Telegraph Ave Ste 210, Berkeley, CA 94705 Phone: 484-432-2177 Fax: 415-680-1717 | |
American Current Care Of California, A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 Seventh St Ste 100, Berkeley, CA 94710 Phone: 510-845-5170 Fax: 510-845-5173 | |
Lifelong Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 University Ave, Berkeley, CA 94710 Phone: 916-749-6192 | |
Inpatient Consultants Of California, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-4444 | |
Inpatient Consultants Of California, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 4th St Ste 1, Berkeley, CA 94710 Phone: 510-525-8980 Fax: 510-525-8982 |