BERKELEY CARDIOVASCULAR MEDICAL GROUP NPI 1194746057

NPI Information

NPI: 1194746057
Provider Name: BERKELEY CARDIOVASCULAR MEDICAL GROUP
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3300 WEBSTER ST STE 702
OAKLAND, CA
ZIP 94609
Phone: (510) 549-4220
Get Directions

BERKELEY CARDIOVASCULAR MEDICAL GROUP is a cardiovascular disease internal medicine in Oakland, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BERKELEY CARDIOVASCULAR MEDICAL GROUP NPI is 1194746057. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3300 WEBSTER ST STE 702
OAKLAND, CA
ZIP 94609-122
Phone: (510) 549-4220
Fax: (510) 433-0744

The provider's authorized official is John S Edelen .
The authorized official title is President and has the following contact phone number (510) 549-4220.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 2/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	CALIFORNIA	Yes
2	207RC0000X	Internal Medicine	Cardiovascular Disease		No
3	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology		No
4	207RI0011X	Internal Medicine	Interventional Cardiology	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	GR0025432	MEDICAID	CALIFORNIA
2	GR0025433	MEDICAID	CALIFORNIA
3	GR0025431	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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