Active NPI
Gilbert Duritz
- Neonatal-Perinatal Medicine Physician
- Berkeley, CA
National Provider Identifier
1104962943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- C34712
- Practice address
- 36 El Camino Real
Berkeley, CA 94705-2424 - Phone
- (510) 848-4581
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | C34712 | CA | Primary |
Addresses
Primary practice location
36 El Camino Real
Berkeley, CA 94705-2424
Mailing address
36 El Camino Real
Berkeley, CA 94705-2424
Phone (510) 848-4581
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 |
|---|---|---|---|
| 34712 | CA | MD | Prosthodontist |
| C34712 | CA | MD | Neonatal-Perinatal Medicine Physician |
Interoperability endpoints
- gduritz171480@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104962943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 EL CAMINO REAL",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052424",
"telephone_number": "510-848-4581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 EL CAMINO REAL",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052424",
"telephone_number": "510-848-4581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURITZ",
"first_name": "GILBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "C34712",
"primary": true
}
],
"identifiers": [],
"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 8, 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.