PETRICE P. KAM


Address: 1497 Alcatraz Ave, Berkeley, CA 94702-2710
Phone: 5104331150

PETRICE P. KAM (NPI# 1396967261) 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) 1396967261
Entity Type Individual
Full Name PETRICE P. KAM
Credential R.N., NP-BC, WCC
Practice Address 1497 Alcatraz Ave
Berkeley
CA 94702-2710
Mailing Address 1194 Carrison St
Berkeley
CA 94702-2410
Practice Telephone 5104331150
Practice Fax Number 5108440132
Mailing Telephone 5105499312
Enumeration Date 2007-05-02
Last Update Date 2013-07-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
16026 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1497 ALCATRAZ AVE
City BERKELEY
State CA
Zip Code 94702-2710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609277961 Esther Akiba Physical Therapist 1497 Alcatraz Ave, Berkeley, CA 94702-2710 2014-09-05
1336556364 Karla Spaulding Registered Nurse 1497 Alcatraz Ave, Berkeley, CA 94702-2710 2014-07-22
1487860987 Kathleen Ann Ruel Nurse Practitioner 1497 Alcatraz Ave, Berkeley, CA 94702-2710 2007-05-14

Providers in the same zip code

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
1033101118 Audrey Dandrea Family Medicine 3100 San Pablo Ave # 310, Berkeley, CA 94702 2005-08-16
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730422767 Martine Bernstein Nurse Practitioner 3260 Sacramento St, Berkeley, CA 94702-2739 2013-03-27
1023031655 Madeline Tam Chow Nurse Practitioner 1510 4th St, Suite 1, Berkeley, CA 94710-1717 2006-07-25
1952342925 Susanne Boatman Nurse Practitioner 3260 Sacramento St, Over 60 Health Center, Berkeley, CA 94702-2739 2006-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174139109 Lena Kazanchyan Nurse Practitioner 11834 Archwood St, North Hollywood, CA 91606-1603 2020-09-16
1740898386 Victor De Guzman Nurse Practitioner 24808 Sand Wedge Ln, Valencia, CA 91355-2315 2020-07-20
1114535937 Ashley Elizabeth Rosso Nurse Practitioner 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 2020-07-17
1518586452 Zaruhi Harutyunyan Nurse Practitioner 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 2020-04-10
1457986168 Maritza J Lira Nurse Practitioner 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 2020-03-03
1225677198 Shannon Ha Duyen Sicat Nurse Practitioner 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 2019-12-24
1528605961 Elsa L Pineda-flores Nurse Practitioner 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 2019-12-04
1447895073 Kemi Osilesi Nurse Practitioner 1943 Seasons St, Simi Valley, CA 93065-0580 2019-11-07
1487297107 Fareeha Sipra Nurse Practitioner Fresno County Jail, 1225 M Street, Fresno, CA 93721 2019-10-25
1255993531 May Therese Ronci Nurse Practitioner 38504 Cougar Pass, Palmdale, CA 93551-5019 2019-07-08
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Competitor

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City BERKELEY
Zip Code 94702

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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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