| Pine Park Health, Inc | |
|
1901 4th St Ste 201 Berkeley CA 94710-1986 | |
| (510) 929-1400 | |
| (510) 929-1414 |
| Full Name | Pine Park Health, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1901 4th St Ste 201, Berkeley, California |
| Authorized Official Name and Position | Stephanie Vanzee (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4694018820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Park Health, Inc Po Box 511250 Los Angeles CA 90051-7805 Ph: (510) 929-1400 | Pine Park Health, Inc 1901 4th St Ste 201 Berkeley CA 94710-1986 Ph: (510) 929-1400 |
| NPI Number | 1346879848 |
|---|---|
| Provider Enumeration Date | 04/06/2020 |
| Last Update Date | 02/04/2025 |
| Medicare PECOS PAC ID | 0345670527 |
|---|---|
| Medicare Enrollment ID | O20200501001068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346879848 | NPI | - | NPPES |
| Provider Name | Denise Angelina Yun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770655508 PECOS PAC ID: 6406888999 Enrollment ID: I20050906000724 |
| Provider Name | Melissa B Vourlitis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235236977 PECOS PAC ID: 4587686852 Enrollment ID: I20051229000756 |
| Provider Name | Payam Parvinchiha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851690622 PECOS PAC ID: 5092953760 Enrollment ID: I20130608000033 |
| Provider Name | Carol Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063783066 PECOS PAC ID: 1759681679 Enrollment ID: I20151125001987 |
| Provider Name | Edward Robert Teare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871832287 PECOS PAC ID: 8426294844 Enrollment ID: I20160215000320 |
| Provider Name | Stephanie L Bedolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265717565 PECOS PAC ID: 2466613153 Enrollment ID: I20160404002223 |
| Provider Name | Michael Feinberg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841682036 PECOS PAC ID: 8628350501 Enrollment ID: I20170130001584 |
| Provider Name | Kari R Cedillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386989630 PECOS PAC ID: 8123244845 Enrollment ID: I20170502002134 |
| Provider Name | Kendell Michelle Cannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194016600 PECOS PAC ID: 9234361163 Enrollment ID: I20171018001197 |
| Provider Name | Myla Thong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982162970 PECOS PAC ID: 9931533973 Enrollment ID: I20200715000136 |
| Provider Name | Michael David Genualdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124482823 PECOS PAC ID: 0143648790 Enrollment ID: I20200914001181 |
| Provider Name | Amanda Nicole Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871199547 PECOS PAC ID: 5698189546 Enrollment ID: I20210210003048 |
| Provider Name | Erin Kathleen Alicia O'hair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710259361 PECOS PAC ID: 3971802919 Enrollment ID: I20210329001089 |
| Provider Name | Roland Pua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215009782 PECOS PAC ID: 2961403035 Enrollment ID: I20220107000433 |
| Provider Name | Brittany Michele Demont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316692841 PECOS PAC ID: 3577958958 Enrollment ID: I20220322000926 |
| Provider Name | Harpreet Kaur Bal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760035976 PECOS PAC ID: 7214314418 Enrollment ID: I20220509001851 |
| Provider Name | Rebeccah Tovar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285384321 PECOS PAC ID: 6305223389 Enrollment ID: I20220512001238 |
| Provider Name | Brianna Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801542071 PECOS PAC ID: 6204216195 Enrollment ID: I20220709000197 |
| Provider Name | Gary Richmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992469159 PECOS PAC ID: 0143691527 Enrollment ID: I20230123000775 |
| Provider Name | Natalia Terreros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699255653 PECOS PAC ID: 1557609765 Enrollment ID: I20230308002465 |
| Provider Name | Sara Gopsill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831717982 PECOS PAC ID: 4880019561 Enrollment ID: I20230412002923 |
| Provider Name | Shiying Luo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154035095 PECOS PAC ID: 1850757030 Enrollment ID: I20230512001282 |
| Provider Name | Ashton Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053814681 PECOS PAC ID: 2961863931 Enrollment ID: I20230807003528 |
| Provider Name | Connie Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598228389 PECOS PAC ID: 5395109458 Enrollment ID: I20230908000745 |
| Provider Name | Hannah Cifuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245015601 PECOS PAC ID: 8628422508 Enrollment ID: I20230926002924 |
| Provider Name | Richard Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003813700 PECOS PAC ID: 4688652894 Enrollment ID: I20231206004120 |
| Provider Name | Laura Christine Eichinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801662168 PECOS PAC ID: 8820448913 Enrollment ID: I20240102003250 |
| Provider Name | Barbara Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154304814 PECOS PAC ID: 8628378080 Enrollment ID: I20240124001978 |
| Provider Name | Jessica Muthoni Ndiritu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205507142 PECOS PAC ID: 9931549276 Enrollment ID: I20240502003632 |
| Provider Name | Monika Talley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013573302 PECOS PAC ID: 8022349992 Enrollment ID: I20240625002436 |
| Provider Name | Jessica Behnam Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548620578 PECOS PAC ID: 9638617996 Enrollment ID: I20240816003883 |
| Provider Name | Lauren Dewalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346603248 PECOS PAC ID: 0244771087 Enrollment ID: I20240920001106 |
Uhs Pharmacy Uc Berkeley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, Pharmacy; Room 1115, Berkeley, CA 94720 Phone: 510-642-3249 Fax: 510-642-5759 | |
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Inpatient Consultants Of California, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 4th St Ste 1, Berkeley, CA 94710 Phone: 510-525-8980 Fax: 510-525-8982 | |
University Health Services, University Of California, Berkeley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, Berkeley, CA 94720 Phone: 510-643-8669 Fax: 510-642-9119 | |
Shine Nee Teng Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3000 Colby St Ste 200, Berkeley, CA 94705 Phone: 510-665-8886 Fax: 510-665-8889 |