AUDREY DANDREA (NPI# 1033101118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033101118 |
| Entity Type | Individual |
| Full Name | AUDREY DANDREA |
| Credential | MD |
| Practice Address |
3100 San Pablo Ave # 310 Berkeley CA 94702 |
| Mailing Address |
1450 Treat Blvd # 300 Walnut Creek CA 94597-2168 |
| Practice Telephone | 9259855020 |
| Mailing Telephone | 9259522855 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G60885 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G608850 | 05 |
| Street Address |
3100 SAN PABLO AVE # 310 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073968244 | Tracey L Taylor | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702-2498 | 2016-04-25 |
| 1225278385 | Andria Dee Johnson | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702-2498 | 2009-03-03 |
| 1184809212 | Sarah White | Nurse Practitioner | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2008-01-08 |
| 1114982568 | Kathryn Emily Malone | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2006-04-19 |
| 1235102252 | Avis Etta Logan | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
| 1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
| 1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
| 1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
| 1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
| 1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
| 1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
| 1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
| 1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
| 1366445470 | Natalie Marshall | Internal Medicine | 3100 San Pablo Ave., Suite 430, Berkeley, CA 94702 | 2005-05-23 |
| Find all providers in zip 94702 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161008 | Rebecca Allison Pell | Family Medicine | 1327 Parker St Apt C, Berkeley, CA 94702-2341 | 2020-07-20 |
| 1649895434 | Precision Psychological Medicine Corporation | Family Medicine | 2703 7th St Ste 301, Berkeley, CA 94710-2664 | 2020-06-08 |
| 1588213458 | Quantumv Medical Group, Inc. | Family Medicine | 46 Shattuck Sq Ste 16, Berkeley, CA 94704-1154 | 2019-09-04 |
| 1780166983 | Amal Salah Elsohemy | Family Medicine | 3100 San Pablo Ave Ste 300, Berkeley, CA 94702-2498 | 2018-09-04 |
| 1033536404 | Dana Gersten | Family Medicine | 1711 Ward St, Berkeley, CA 94703-2105 | 2014-03-24 |
| 1811269566 | Ernest Marvin Kotlier | Family Medicine | 1555 Scenic Ave, Berkeley, CA 94708-1813 | 2012-01-27 |
| 1811268246 | Miles Graber | Family Medicine | 1768 Sonoma Ave, Berkeley, CA 94707-2531 | 2012-01-17 |
| 1528123759 | Michele Ditomas | Family Medicine | 2031 6th Street, Berkeley, CA 94710 | 2006-12-27 |
| 1376613257 | Stephen Morris Brown | Family Medicine | 2435 Webster St Ste D, Berkeley, CA 94705-2050 | 2006-11-08 |
| 1437236163 | Shannon Lee Mccune | Family Medicine | 2850 Telegraph Ave Ste 130, Berkeley, CA 94705-1159 | 2006-11-01 |
| Find all providers in BERKELEY | ||||
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| 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.