Berkeley General Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BERKELEY GENERAL MEDICAL CORPORATION

Practice address

3017 Telegraph Ave Ste 210
Berkeley, CA 94705-2049

Phone

(484) 432-2177

Fax

(415) 680-1717

NPI assigned

Nov 3, 2022

Last updated

Nov 3, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mikael Langner, MDNPI 1477855724

Title

Executive Director

Phone

(484) 432-2177

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mikael Langner, M.D.

  • General Practice Physician
  • Berkeley, CA
  • NPI 1477855724
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1013624493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022401",
            "telephone_number": "484-432-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 TELEGRAPH AVE STE 210",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052049",
            "telephone_number": "484-432-2177",
            "fax_number": "415-680-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY GENERAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "LANGNER",
        "authorized_official_first_name": "MIKAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "484-432-2177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.