PRIVATE PEDIATRICS INCORPORATED (NPI# 1366524258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366524258 |
| Entity Type | Organization |
| Organization Name | PRIVATE PEDIATRICS INCORPORATED |
| Practice Address |
3031 Telegraph Ave Suite 235 Berkeley CA 94705-2051 |
| Practice Telephone | 8882543950 |
| Practice Fax Number | 8882543950 |
| Mailing Telephone | 8882543950 |
| Mailing Fax Number | 8882543950 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WOLFFE NADOOLMAN (DIRECTOR) |
| Authorized Official Telephone | 8882543950 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A69540 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3031 TELEGRAPH AVE SUITE 235 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025051 | Peter Freedman | Psychiatry & Neurology | 3031 Telegraph Ave, 103, Berkeley, CA 94705-2051 | 2005-07-07 |
| 1235749995 | California Coalition for Harm Reduction | Clinic/Center | 3031 Telegraph Ave, Berkeley, CA 94705-2051 | 2020-08-06 |
| 1518272574 | Steven Chan Allan Hsu Dds, Inc | Dentist | 3031 Telegraph Ave, Ste #136, Berkeley, CA 94705-2051 | 2010-08-16 |
| 1235363086 | Jean Iams | Massage Therapist | 3031 Telegraph Ave, Berkeley, CA 94705-2051 | 2009-05-07 |
| 1912149410 | Keith T Nelson | Dentist | 3031 Telegraph Ave, Ste 234, Berkeley, CA 94705-2051 | 2009-03-30 |
| 1952541260 | Musculoskeletal Physical Therapy Inc. | Clinic/Center | 3031 Telegraph Ave, Ste 131, Berkeley, CA 94705-2051 | 2009-02-26 |
| 1295943587 | Ellen Bier Physical Therapy | Clinic/Center | 3031 Telegraph Ave, Ste 131, Berkeley, CA 94705-2051 | 2007-05-18 |
| 1629281233 | Tonrai Kormi | Plastic Surgery | 3031 Telegraph Ave, Suite 217, Berkeley, CA 94705-2053 | 2007-05-08 |
| 1326176140 | Alyosha Zim | Psychiatry & Neurology | 3031 Telegraph Ave, #143, Berkeley, CA 94705-2051 | 2007-03-01 |
| 1184762643 | Keith T. Nelson, Dds Inc | Dentist | 3031 Telegraph Ave, Suite 234, Berkeley, CA 94705-2051 | 2007-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275097271 | Robert H Dorsett | Pediatrics | 2817 Cherry St, Berkeley, CA 94705-2309 | 2019-01-24 |
| 1033487160 | Aurora Mcallister | Pediatrics | 1415 Stannage Ave, Berkeley, CA 94702-1031 | 2011-12-03 |
| 1659676153 | Elmer R. Grossman | Pediatrics | 899 Euclid Ave, Berkeley, CA 94708-1305 | 2011-01-14 |
| 1801032990 | Florence Cynthia Kuyt | Pediatrics | 2731 Benvenue Ave, Berkeley, CA 94705-1201 | 2008-12-19 |
| 1811197908 | Katherine Johnston | Pediatrics | 116 The Uplands, Berkeley, CA 94705-2817 | 2007-07-18 |
| 1164562864 | Janet M. Berreman | Pediatrics | 830 University Ave, Berkeley, CA 94710-2044 | 2007-02-08 |
| 1891847547 | Ann L. Parker | Pediatrics | 900 Colusa Ave, Berkeley, CA 94707-2319 | 2007-01-16 |
| 1740374404 | Myles B. Abbott | Pediatrics | 2999 Regent St., Suite 325, Berkeley, CA 94705-2118 | 2006-10-03 |
| 1447267414 | Jane Emily Hunter | Pediatrics | 2320 Woosley Street, Suite 301, Berkeley, CA 94705 | 2006-08-02 |
| 1558382242 | Elaine E Davenport | Pediatrics | 1321 Mcgee Ave, Berkeley, CA 94703-1005 | 2006-07-21 |
| 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.