Active NPI
Joel Abram Piser, MD
- Pediatric Urology Physician
- Berkeley, CA
National Provider Identifier
1275600850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- A43674
- Practice address
- 2999 Regent St Ste 612
Berkeley, CA 94705-2121 - Phone
- (510) 848-1727
- Fax
- (510) 848-8224
- NPI assigned
- Nov 29, 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 |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | A43674 | CA | Primary |
Addresses
Primary practice location
2999 Regent St Ste 612
Berkeley, CA 94705-2121
Mailing address
2999 Regent St
#612
Berkeley, CA 94705-2146
Phone (510) 848-1727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YYY49005Y | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090317000357 | CA | Practitioner - Urology | 1759448855 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A43674 | CA | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkeley Urological Associates a Medical Group Inc. Fka Lyon | Pediatric Urology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Urology Physician
- Berkeley, CA
- NPI 1992872410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1275600850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2999 REGENT ST",
"address_2": "#612",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052146",
"telephone_number": "510-848-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 REGENT ST STE 612",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052121",
"telephone_number": "510-848-1727",
"fax_number": "510-848-8224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISER",
"first_name": "JOEL",
"middle_name": "ABRAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "CA",
"license": "A43674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "YYY49005Y",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 18, 2020; 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.