Organization Active NPI

Kathy L. Adams-Berry, MD

  • Obstetrics & Gynecology Physician
  • Carmichael, CA
National Provider Identifier
1235517608
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G82301 Issued in CA
Legal business name
KATHY L. ADAMS-BERRY, MD
Practice address
6444 Coyle Ave
Suite 3
Carmichael, CA 95608
Phone
(916) 961-2021
Fax
(916) 961-2022
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Kathy Lynn Adams-Berry, MDNPI 1205876760
Title
Owner
Phone
(916) 961-2021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G82301 CA Primary

Addresses

Primary practice location

6444 Coyle Ave
Suite 3
Carmichael, CA 95608

Mailing address

6444 Coyle Ave
Suite 3
Carmichael, CA 95608-0300
Phone (916) 961-2021

Other identifiers 1

IdentifierTypeStateIssuer
1205876760OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150915001137 CA Part B Supplier - Clinic/Group Practice 4789991381 Receives reassigned benefits from 1 practitioner
Practice locations: Carmichael, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12795/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1235517608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 COYLE AVE",
            "address_2": "SUITE 3",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080300",
            "telephone_number": "916-961-2021",
            "fax_number": "916-961-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 COYLE AVE",
            "address_2": "SUITE 3",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "95608",
            "telephone_number": "916-961-2021",
            "fax_number": "916-961-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY L. ADAMS-BERRY, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "ADAMS-BERRY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-961-2021",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G82301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205876760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.