Individual provider Active NPI

Nathalie Bera-Miller, MD

  • Public Health & General Preventive Medicine Physician
  • San Ramon, CA
National Provider Identifier
1023217049
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
G075670 Issued in CA
Practice address
2303 Camino Ramon Ste 208
San Ramon, CA 94583-1392
Phone
(925) 658-0464
Fax
(888) 807-4046
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X G75670 CA
Public Health & General Preventive Medicine Physician 2083P0901X G075670 CA Primary

Addresses

Primary practice location

2303 Camino Ramon Ste 208
San Ramon, CA 94583-1392

Mailing address

2303 Camino Ramon Ste 208
San Ramon, CA 94583-1392
Phone (925) 658-0464

Other names 1

  • Dr. Nathalie Bera Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 21, 2016 through Mar 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75670CAMDPharmacotherapy Pharmacist
G075670CAMDPublic Health & General Preventive Medicine Physician
G75670CAMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1023217049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 CAMINO RAMON STE 208",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831392",
            "telephone_number": "925-658-0464",
            "fax_number": "888-807-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 CAMINO RAMON STE 208",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831392",
            "telephone_number": "925-658-0464",
            "fax_number": "888-807-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERA-MILLER",
        "first_name": "NATHALIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G75670",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G075670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHALIE",
            "last_name": "BERA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.