Tracy Ann Berggren, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

22238 Issued in CA

Practice address

725 Welch Rd
Palo Alto, CA 94304-1601

Phone

(628) 275-4140

NPI assigned

Jun 30, 2008

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1407018468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "628-275-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "991 4th St",
            "address_purpose": "LOCATION",
            "city": "Hollister",
            "state": "CA",
            "postal_code": "95023",
            "country_code": "US",
            "telephone_number": "831-636-3277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 6th St S",
            "address_2": "Box 6220",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014816",
            "country_code": "US",
            "telephone_number": "727-767-8554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 6th St S",
            "address_2": "Box 6220",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014816",
            "country_code": "US",
            "telephone_number": "727-767-8554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGGREN",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "22238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Berezina, DDS
• Christina Berg, PHARMD
• Marc David Berg, MD, FAAP
• Benjamin Thomas Berger
• David L. Berger, MD
• Weston Lunger Bergh, DPT
• Anne Sturmthal Bergman, MSW, DRPH
• David Aaron Bergman, M.D.
• Brandon Hwa-Lin Bergsneider, MD
• Suzannah Leigh Bergstein, MD

• Physician Assistant in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.