Active NPI
Deborah L. Berry, NP
- Family Nurse Practitioner
- North Highlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 950002461
- Practice address
- 5700 Watt Ave
North Highlands, CA 95660-4752 - Phone
- (916) 338-8367
- Fax
- (916) 332-1849
- NPI assigned
- May 1, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 843723 | CA | |
| Family Nurse Practitioner | 363LF0000X | 950002461 | CA | Primary |
Addresses
Primary practice location
5700 Watt Ave
North Highlands, CA 95660-4752
Mailing address
1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 795-3619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4040 Sunrise Blvd
Suite 130
Rancho Cordova, CA 95742-6922
Phone (916) 790-3980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 843723 | CA | MD | Registered Nurse |
| 950002461 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Mar Monte, Inc. | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Current | Accepting new patients | |
| American River Urgent Care, Inc | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Current | Accepting new patients | |
| Planned Parenthood Mar Monte Inc. | Current | Accepting new patients | |
| Planned Parenthood Mar Monte Inc | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc. | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Current | Accepting new patients |
Locations
2633 16th St
Bakersfield, CA 93301
Phone (661) 334-4403
6095 N 1st St
Fresno, CA 93710
Phone (559) 432-2600
650 N Fulton St
Fresno, CA 93728
Phone (559) 488-4900
1032 A St
Hayward, CA 94541
Phone (510) 300-3800
965 E Yosemite Ave
Ste 2
Manteca, CA 95336
Phone (209) 239-2528
1431 McHenry Ave
Ste 100
Modesto, CA 95350
Phone (209) 579-2300
5700 Watt Ave
North Highlands, CA 95660
Phone (916) 332-5715
9490 Madison Ave
Ste 100
Orangevale, CA 95662
Phone (916) 549-3973
4040 Sunrise Blvd
Ste 130
Rancho Cordova, CA 95742
Phone (855) 378-8837
729 Sunrise Ave
Ste 900
Roseville, CA 95661
Phone (916) 781-3310
5385 Franklin Blvd
Ste Ad
Sacramento, CA 95820
Phone (916) 452-7305
1694 Tully Rd
Ste 40
San Jose, CA 95122
Phone (408) 795-3600
1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526
5440 Thornwood Dr
Ste G
San Jose, CA 95123
Phone (408) 281-9777
1119 Pacific Ave
Ste 200
Santa Cruz, CA 95060
Phone (831) 426-5550
625 Hilby Ave
Seaside, CA 93955
Phone (831) 394-1691
435 Grand Ave
South San Francisco, CA 94080
Phone (408) 795-3619
4555 Precissi Ln
Stockton, CA 95207
Phone (209) 477-4103
678 N Wilson Way
Ste G
Stockton, CA 95205
Phone (209) 446-2081
1441 N Tracy Blvd
Tracy, CA 95376
Phone (209) 835-8910
398 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 724-7525
430 N Palora Ave
Ste G
Yuba City, CA 95991
Phone (530) 674-2603
2225 Civic Center Dr
Ste 230
North Las Vegas, NV 89030
Phone (408) 795-3600
Interoperability endpoints
- deborah.berryfnpc.p1@direct.ppmarmonte.nextgenshare.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Orangevale, CA
- NPI 1598279085
-
- Community Health Clinic/Center
- Stockton, CA
- NPI 1174579957
-
- Community Health Clinic/Center
- North Highlands, CA
- NPI 1184677163
-
- Community Health Clinic/Center
- Reno, NV
- NPI 1497708770
-
- Community Health Clinic/Center
- Redwood City, CA
- NPI 1477977973
-
- Community Health Clinic/Center
- Yuba City, CA
- NPI 1255387106
-
- Community Health Clinic/Center
- Roseville, CA
- NPI 1447206321
-
- Community Health Clinic/Center
- San Jose, CA
- NPI 1558314609
-
- Community Health Clinic/Center
- Sacramento, CA
- NPI 1679526610
-
- Community Health Clinic/Center
- Seaside, CA
- NPI 1972556967
-
- Community Health Clinic/Center
- San Jose, CA
- NPI 1598536971
-
- Community Health Clinic/Center
- North Las Vegas, NV
- NPI 1598561805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1194135988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262203",
"telephone_number": "408-795-3619",
"fax_number": "408-287-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 WATT AVE",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956604752",
"telephone_number": "916-338-8367",
"fax_number": "916-332-1849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "DEBORAH",
"middle_name": "L.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-01",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "843723",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "950002461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.
- 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.