Active NPI
Burton Alan Presberg, MD
- Psychiatry Physician
- Oakland, CA
National Provider Identifier
1104913540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G79595
- Practice address
- 286 Santa Clara Ave
Oakland, CA 94610 - Phone
- (510) 597-0536
- Fax
- (510) 597-0566
- NPI assigned
- Oct 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G79595 | CA | Primary |
Addresses
Primary practice location
286 Santa Clara Ave
Oakland, CA 94610
Mailing address
286 Santa Clara Ave
Oakland, CA 94610
Phone (510) 597-0536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1886229 | Medicaid | CA |
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
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- JS Weill Medical College, Cornell University, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
286 Santa Clara Ave
Oakland, CA 94610-2624
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G79595 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104913540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 SANTA CLARA AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94610",
"telephone_number": "510-597-0536",
"fax_number": "510-597-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 SANTA CLARA AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94610",
"telephone_number": "510-597-0536",
"fax_number": "510-597-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESBERG",
"first_name": "BURTON",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G79595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1886229",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.