Active NPI
Gerald L. Meyers, M.D.
- Pulmonary Disease Physician
- Berkeley, CA
National Provider Identifier
1013950575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G19754
- Practice address
- 2450 Ashby Ave
Berkeley, CA 94705-2067 - Phone
- (510) 204-1894
- Fax
- (510) 841-0435
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | G19754 | CA | |
| Pulmonary Disease Physician | 207RP1001X | G19754 | CA | Primary |
Addresses
Primary practice location
2450 Ashby Ave
Berkeley, CA 94705-2067
Mailing address
3017 Telegraph Ave
Suite 102
Berkeley, CA 94705-2049
Phone (510) 841-0689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G197540 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G19754 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1013950575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 TELEGRAPH AVE",
"address_2": "SUITE 102",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052049",
"telephone_number": "510-841-0689",
"fax_number": "510-841-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 ASHBY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052067",
"telephone_number": "510-204-1894",
"fax_number": "510-841-0435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "GERALD",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "G19754",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G19754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G197540",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.