DR. LORI BERGERON (NPI# 1659693554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659693554 |
| Entity Type | Individual |
| Full Name | DR. LORI BERGERON |
| Credential | DC |
| Practice Address |
1640 Tiburon Blvd 6 Tiburon CA 94920-2515 |
| Practice Telephone | 4154357420 |
| Practice Fax Number | 4154357424 |
| Mailing Telephone | 4154357420 |
| Mailing Fax Number | 4154357424 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 17636 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| Street Address |
1640 TIBURON BLVD 6 |
| City | TIBURON |
| State | CA |
| Zip Code | 94920-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780767103 | Gretchen K Andreis | Chiropractor | 1640 Tiburon Blvd, Tiburon, CA 94920 | 2006-10-21 |
| 1790383412 | Eric Noah | Emergency Medical Technician, Paramedic | 1640 Tiburon Blvd, Tiburon, CA 94920-2515 | 2020-10-14 |
| 1104038777 | Lori Andreis Bergeron | Chiropractor | 1640 Tiburon Blvd, 6, Tiburon, CA 94920-2515 | 2007-05-04 |
| 1053481671 | Alicia Andreis Pflueger | Chiropractor | 1640 Tiburon Blvd, Tiburon, CA 94920-2515 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427514116 | Cassie Merrier | Physical Therapist | 0 Alcatraz Ave, Tiburon, CA 94920 | 2019-02-18 |
| 1295123701 | Geoffrey Collins | Family Medicine | 14 Leeward Rd, Belvedere, CA 94920 | 2015-01-06 |
| 1154758548 | James Lynne Bennington | Pathology | 55 Beach Road, Belvedere, CA 94920 | 2013-10-01 |
| 1922442532 | Olav Nicholas Norman | Anesthesiology | 42 Norman Way, Tiburon, CA 94920 | 2013-04-25 |
| 1619162864 | Sarah Dihmes | Psychologist | 17 Captain's Landing, Tiburon, CA 94920 | 2007-09-11 |
| 1578632279 | James Patrick Hardy | Anesthesiology | 18 Salt Lnd, Bel Tiburon, CA 94920 | 2006-11-07 |
| 1215015847 | Jay I. La Bourene | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1550-g Tiburon Blvd, Tiburon, CA 94920 | 2006-11-01 |
| 1215573324 | Eileeen Grace Mckenzie | Marriage & Family Therapist | 4850 Paradise Dr, Tiburon, CA 94920-1001 | 2019-11-24 |
| 1972546695 | Harvey A Gilbert | Radiology | 159 Saint Thomas Way, Tiburon, CA 94920-1031 | 2006-06-13 |
| 1053425116 | Gregory Michael Bell | Internal Medicine | 157 Trinidad Dr, Tiburon, CA 94920-1037 | 2006-08-18 |
| Find all providers in zip 94920 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780767103 | Gretchen K Andreis | Chiropractor | 1640 Tiburon Blvd, Tiburon, CA 94920 | 2006-10-21 |
| 1104038777 | Lori Andreis Bergeron | Chiropractor | 1640 Tiburon Blvd, 6, Tiburon, CA 94920-2515 | 2007-05-04 |
| 1053481671 | Alicia Andreis Pflueger | Chiropractor | 1640 Tiburon Blvd, Tiburon, CA 94920-2515 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073615 | Tsu Yao Lam | Chiropractor | 9337 Steele St, Rosemead, CA 91770-1915 | 2020-11-05 |
| 1255932356 | Dr Demetria Casady Chiropractic PC | Chiropractor | 10801 Foothill Blvd Ste 104, Rancho Cucamonga, CA 91730-7695 | 2020-11-04 |
| 1285234286 | Hifai Chiropractic Inc | Chiropractor | 7805 Highland Village Pl Ste 104, San Diego, CA 92129-5181 | 2020-10-28 |
| 1679173157 | Mvmt Matters, A Daniel J Saenz Chiropractic Corporation | Chiropractor | 7700 Folsom Auburn Rd Ste 135, Folsom, CA 95630-6637 | 2020-10-26 |
| 1295334829 | Anat Aronowicz | Chiropractor | 136 S Peck Dr Apt C, Beverly Hills, CA 90212-2461 | 2020-10-24 |
| 1417556218 | Mandy Wong | Chiropractor | 3058 Marston Way, San Jose, CA 95148-3118 | 2020-10-22 |
| 1205435179 | Linet Sarkisyan | Chiropractor | 530 E Santa Anita Ave Apt 102, Burbank, CA 91501-2912 | 2020-10-22 |
| 1871192922 | Jason Trainer | Chiropractor | 4580 Southampton St, San Diego, CA 92117-4032 | 2020-10-20 |
| 1598363079 | Zachary Allen Peters | Chiropractor | 2071 Antioch Ct Ste 203, Oakland, CA 94611-2955 | 2020-10-15 |
| 1558969238 | Fernando A Titus | Chiropractor | 233 6th St, Manhattan Beach, CA 90266-5735 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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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.