Habteab Yohannes Berhane

Primary specialty

PharmacistTaxonomy code 183500000X

License

83586 Issued in CA

Practice address

1980 Santa Rosa Ave # 516365S
Santa Rosa, CA 95407-7621

NPI assigned

Dec 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1275139784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NORTHCOAST ST APT 35C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033366",
            "telephone_number": "408-991-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SANTA ROSA AVE # 516365S",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1980 Santa Rosa Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954077621",
            "country_code": "US",
            "telephone_number": "707-575-0982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERHANE",
        "first_name": "HABTEAB",
        "middle_name": "YOHANNES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Bergeron, LMFT
• Jennifer Berghof, LMFT
• Phyllis Bergie-Moore, RD
• Kevin Bergman, M.D.
• Lynn Lokelani Bergman, M.A., M.F.T.
• Jessica Berkana, LMFT
• Laura A. Berke, RN, FNP
• Jeremy Berlin
• Cynthia Carole Berman, PHD
• Marvin Stephen Berman, DMD

• Pharmacist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.