Bevorly Fhamore Cain-Berk, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN614337 Issued in CA

Practice address

4105 Timberline Dr
San Jose, CA 95121-1033

Phone

(408) 620-1166

Fax

(408) 912-5340

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Bevorly Fhamore Cain Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1245343573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 TIMBERLINE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211033",
            "telephone_number": "408-620-1166",
            "fax_number": "408-912-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 TIMBERLINE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211033",
            "telephone_number": "408-620-1166",
            "fax_number": "408-912-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN-BERK",
        "first_name": "BEVORLY",
        "middle_name": "FHAMORE",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "RN614337",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "NP 14109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVORLY",
            "last_name": "CAIN",
            "middle_name": "FHAMORE",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mike Cai, DDS
• Nixuan Cai
• Van Buu Cai
• Vinh Buu Cai, FNP
• Maria Alejandra Caicedo, PA
• Katherine Cairns
• Lynda Caisip, CMT
• Adela Cajic, MS
• Cal Mobile X-Ray & Ekg Inc
• Lindsey Marie Calabrese

• Women's Health Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.