BERKELEY CARDIOVASCULAR MEDICAL GROUP NPI 1194746057

NPI Information

  • NPI: 1194746057
  • Provider Name: BERKELEY CARDIOVASCULAR MEDICAL GROUP
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 3300 WEBSTER ST STE 702
    OAKLAND, CA
    ZIP 94609
  • Phone: (510) 549-4220

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NPI Details

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 single 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 5/15/2024.

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 Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RC0000XInternal MedicineCardiovascular DiseaseCALIFORNIAYes
3207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
4207RI0011XInternal MedicineInterventional CardiologyCALIFORNIANo

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 Other Provider Identifier Issuer
1GR0025431MEDICAIDCALIFORNIA
2GR0025433MEDICAIDCALIFORNIA
3GR0025432MEDICAIDCALIFORNIA

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: 11/21/2025

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