Active NPI
Walter Randal Berkheimer, MD
- Neonatal-Perinatal Medicine Physician
- Vallejo, CA
National Provider Identifier
1386707669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- G835310
- Practice address
- 300 Hospital Dr
Sutter Solano Medical Center
Vallejo, CA 94589 - Phone
- (707) 554-5102
- NPI assigned
- Dec 18, 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | G835310 | CA | Primary |
Addresses
Primary practice location
300 Hospital Dr
Sutter Solano Medical Center
Vallejo, CA 94589
Mailing address
1860 Pennsylvania Ave Ste 145
Northbay Neonatology & Associates Inc
Fairfield, CA 94533
Phone (707) 429-6908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0040030 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G835310 | CA | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386707669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PENNSYLVANIA AVE STE 145",
"address_2": "NORTHBAY NEONATOLOGY & ASSOCIATES INC",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "94533",
"telephone_number": "707-429-6908",
"fax_number": "707-429-6906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HOSPITAL DR",
"address_2": "SUTTER SOLANO MEDICAL CENTER",
"city": "VALLEJO",
"state": "CA",
"postal_code": "94589",
"telephone_number": "707-554-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKHEIMER",
"first_name": "WALTER",
"middle_name": "RANDAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "G835310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0040030",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.