Active NPI
Felix Ralph Berberich, MD
- Pediatrics Physician
- Berkeley, CA
National Provider Identifier
1205869286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G-17754
- Practice address
- 2500 Milvia St
Berkeley, CA 94704-2636 - Phone
- (510) 204-5600
- Fax
- (510) 204-5462
- NPI assigned
- Jul 10, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G-17754 | CA | Primary |
Addresses
Primary practice location
2500 Milvia St
Berkeley, CA 94704-2636
Mailing address
2500 Milvia St
Berkeley, CA 94704-2636
Phone (510) 204-5600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G177540 | Medicaid | CA | |
| 000G177540 | Other | CA | B.S. |
Other names 1
- Dr. F Ralph Berberich
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 |
|---|---|---|---|
| G-17754 | CA | MD | Pediatrics Physician |
Interoperability endpoints
- fberberich160161@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516579200000",
"number": "1205869286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 MILVIA ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042636",
"telephone_number": "510-204-5600",
"fax_number": "510-204-5462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 MILVIA ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042636",
"telephone_number": "510-204-5600",
"fax_number": "510-204-5462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERBERICH",
"first_name": "FELIX",
"middle_name": "RALPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2018-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G-17754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G177540",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B.S.",
"identifier": "000G177540",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "F",
"last_name": "BERBERICH",
"middle_name": "RALPH",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.