BERKELEYORINDA ORAL SURGERY (NPI# 1346660404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346660404 |
| Entity Type | Organization |
| Organization Name | BERKELEYORINDA ORAL SURGERY |
| Practice Address |
2522 Dana St Suite 202 Berkeley CA 94704-2895 |
| Practice Telephone | 5108481055 |
| Practice Fax Number | 5108489100 |
| Mailing Telephone | 5108481055 |
| Mailing Fax Number | 5108489100 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |
| Authorized Official Name | DR. RICHARD M.A. BERGER (OWNER/PARTNER) |
| Authorized Official Telephone | 5108481055 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
29890 | CA | Ambulatory Health Care Facilities |
| Street Address |
2522 DANA ST SUITE 202 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-2895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588735245 | Richard M.a. Berger | Dentist | 2522 Dana St, Suite 202, Berkeley, CA 94704-2803 | 2006-11-13 |
| 1649528027 | Craig Y. Bloom,dmd,richard M.a. Berger, Dds, Bryan R. Krey, Dmd,apc & | Dentist | 2522 Dana St, Suite 202, Berkeley, CA 94704-2895 | 2012-08-16 |
| 1194057174 | Craig Y. Bloom,dmd, Richard M.a. Berger,dds & Bryan R. Krey, Dmd, Apc | Dentist | 2522 Dana St, Suite 202, Berkeley, CA 94704-2895 | 2010-02-02 |
| 1306040613 | Herbert Randall Harrison | Dentist | 2522 Dana St, Ste 105, Berkeley, CA 94704 | 2007-06-12 |
| 1245433796 | Jacquelyn Michele Williams | Dentist | 2522 Dana St, Suite 101, Berkeley, CA 94704-2803 | 2007-06-11 |
| 1073731824 | Bill Thomas Cavalli | Dentist | 2522 Dana St, #207, Berkeley, CA 94704 | 2007-04-24 |
| 1629296991 | Daniel Afshin Mobati | Dentist | 2522 Dana St, Suite 202, Berkeley, CA 94704-2895 | 2007-04-23 |
| 1275652844 | Sonja Kae Garden | Dentist | 2522 Dana St, Suite 203, Berkeley, CA 94704 | 2007-03-28 |
| 1841344751 | Craig Yale Bloom | Dentist | 2522 Dana St, Suite 202, Berkeley, CA 94704-2803 | 2007-01-22 |
| 1962573634 | Bryan Reed Krey | Dentist | 2522 Dana St, Suite 202, Berkeley, CA 94704-2803 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528524188 | Ricky Singh Dmd A Professional Corporation | Clinic/Center | 914 The Alameda, Berkeley, CA 94707-2308 | 2019-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1255931408 | Joseph A. Geleris | Clinic/Center | 132 N Vermont Ave, Glendora, CA 91741-5315 | 2020-10-27 |
| 1619524428 | Eliza Berris Dds, Inc. | Clinic/Center | 19851 Yorba Linda Blvd Ste 201-202, Yorba Linda, CA 92886-2864 | 2019-08-26 |
| 1497309306 | Acevedo Dental Corp | Clinic/Center | 1857 E 4th St, Ontario, CA 91764-2601 | 2019-07-29 |
| 1457911992 | Salina Mahgerefteh Dds Inc | Clinic/Center | 853 Warner Ave, Los Angeles, CA 90024-3327 | 2019-06-17 |
| 1588121248 | Trinh Thi Bui D.d.s.a Dental Corporation | Clinic/Center | 18510 Gridley Rd, Artesia, CA 90701 | 2019-02-28 |
| 1073082079 | Ucsf Dental Oncology | Clinic/Center | 513 Parnassus Avenue, Room S741, San Francisco, CA 94143-2205 | 2018-11-19 |
| 1033696406 | Daniel E Niemann Dds Dental Corporation | Clinic/Center | 2050 Huntington Dr Ste B, South Pasadena, CA 91030-4900 | 2018-07-27 |
| 1104318013 | Louis Gallia Md Medical Corp | Clinic/Center | 87 Scripps Dr #112, Sacramento, CA 95825 | 2018-06-06 |
| 1134624638 | Diem Cao Dds Inc | Clinic/Center | 8813 Alondra Blvd, Paramount, CA 90723-4603 | 2018-03-27 |
| 1013305689 | Mason Y. Lee, Dds, A Professional Corp | Clinic/Center | 750 Las Gallinas Ave Ste 207, San Rafael, CA 94903-3432 | 2015-01-05 |
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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.