DIANA KUDERNA


Address: 2223 Mckinley Ave, Berkeley, CA 94703-1717
Phone: 5105410226

DIANA KUDERNA (NPI# 1023482700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023482700
Entity Type Individual
Full Name DIANA KUDERNA
Practice Address 2223 Mckinley Ave
Berkeley
CA 94703-1717
Practice Telephone 5105410226
Mailing Telephone 5105410226
Enumeration Date 2015-11-18
Last Update Date 2015-11-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA17761 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 00 00 01

Office Location

Street Address 2223 MCKINLEY AVE
City BERKELEY
State CA
Zip Code 94703-1717

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811553621 Brittney Jerrilena Monique Garrett Behavioral Analyst 1901 Stuart St, Berkeley, CA 94703 2019-05-16
1740762178 Maryam Jabbari Amiri Student in an Organized Health Care Education/Training Program 3075 Adeline Street, Suite 120, Berkeley, CA 94703 2018-09-01
1619427549 Sigal Gafni Occupational Therapist 1622 Parker St. Apt. 1, Berkeley, CA 94703 2016-10-04
1750741138 Ane Becker Community Health Worker 2026 Woolsey St, Berkeley, CA 94703 2016-02-29
1245697135 Sara Dinome Teel Vargas Chiropractor 3286 Adeline St., Suite 9, Berkeley, CA 94703 2016-01-22
1083081608 Olivia Debree Nurse Practitioner 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 2015-08-31
1962885988 Caro Grosvenor Marriage & Family Therapist 1511 Ada Street, Berkeley, CA 94703 2015-07-08
1619378452 Myles Malone Counselor 2413 Jefferson Ave., Berkeley, CA 94703 2014-09-11
1013340223 Denise Daniel Acupuncturist 6222 La Salle Ave Suite B, Oakland, CA 94703 2013-08-12
1104126200 Iramis Kouromenos Dental Hygienist 1721 University Ave Apt#209, Berkeley, CA 94703 2010-10-25
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104234731 Felicia Ma Physician Assistant 2344 Sixth Street, Berkeley, CA 94710 2014-07-28
1831501345 Thanh Trung T Nguyen Physician Assistant 2052 Mcgee Ave, Berkeley, CA 94703-1417 2014-06-02
1265791891 Sun Captain Physician Assistant 3031 Telegraph Ave Ste 217, Berkeley, CA 94705-2053 2012-05-16
1508901232 George Y Pearson Physician Assistant 3108 Acton St, Berkeley, CA 94702-2709 2007-02-20
1811480312 Jennifer Kha Physician Assistant 2920 Telegraph Ave, Berkeley, CA 94705-2031 2018-06-08
1538516430 Kayla Christine Spring Physician Assistant 3095 Telegraph Ave, Berkeley, CA 94705-2035 2016-05-20
1861740961 Justin C Davis Physician Assistant 2512 Telegraph Ave, Berkeley, CA 94704-2918 2012-08-21
1801192315 Sarah Pontell Physician Assistant 2915 Telegraph Ave, Suite 101, Berkeley, CA 94705-2060 2011-01-31
1376868497 Helen O Chodsky Physician Assistant 2320 Woolsey St, Suite 202, Berkeley, CA 94705-1973 2010-03-31
1013230440 Miriam Mona Gaffer Ferreira Physician Assistant 2828 Telegraph Ave, Berkeley, CA 94705-1119 2010-03-12
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Competitor

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City BERKELEY
Zip Code 94703

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Dataset Information

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.

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