Active NPI
Anthony Digiovanni, M.D.
- Child & Adolescent Psychiatry Physician
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A87688
- Practice address
- 2001 Dwight Way
Berkeley, CA 94704-2608 - Phone
- (510) 204-4635
- Fax
- (510) 204-3060
- NPI assigned
- Sep 21, 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | A87688 | CA | Primary |
Addresses
Primary practice location
2001 Dwight Way
Berkeley, CA 94704-2608
Mailing address
2001 Dwight Way
Berkeley, CA 94704-2608
Phone (510) 204-4635
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J400066800 | Other | NY | MEDICARE GROUP J100044293 |
| 03446917 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- George Washington University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Dwight Way
RM 4190
Berkeley, CA 94704-2608
Phone (510) 204-4635
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A87688 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Psychiatric Associates | Current | Accepting new patients |
Locations
2020 Milvia St
Ste 440
Berkeley, CA 94704
Phone (510) 204-4635
2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880
2001 Dwight Way
Rm 4190
Berkeley, CA 94704
Phone (510) 204-4635
2001 Dwight Way
Fl 4
Berkeley, CA 94704
Phone (510) 204-2461
2001 Dwight Way
Ste 4190
Berkeley, CA 94704
Phone (510) 204-4635
350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000
Interoperability endpoints
- adigiovanni264772@hisp.ehr.sutterhealth.org
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.
-
- Psychiatry Physician
- Berkeley, CA
- NPI 1427163229
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1376642769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 DWIGHT WAY",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042608",
"telephone_number": "510-204-4635",
"fax_number": "510-204-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 DWIGHT WAY",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042608",
"telephone_number": "510-204-4635",
"fax_number": "510-204-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGIOVANNI",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A87688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP J100044293",
"identifier": "J400066800",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03446917",
"state": "NY"
}
],
"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 Jun 16, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.