Gary M Berke Ms, CP

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP1628

Legal business name

GARY M BERKE MS, CP

Doing business as

Berke Prosthetics & Orthotics

Practice address

2001 Winward Way
Suite 100
San Mateo, CA 94404-2499

Phone

(650) 365-5861

Fax

(650) 365-5896

NPI assigned

Dec 13, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary M Berke, MS, CPNPI 1669490777

Title

Owner

Phone

(650) 365-5861

Specialties & licenses 3

Addresses

Other names 1

• Berke Prosthetics & Orthotics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary M Berke, MS, CP

  • Prosthetist
  • San Mateo, CA
  • NPI 1669490777
  Authorized official Same address or phone

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467635367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WINWARD WAY",
            "address_2": "SUITE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944042499",
            "telephone_number": "650-365-5861",
            "fax_number": "650-365-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WINWARD WAY",
            "address_2": "SUITE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944042499",
            "telephone_number": "650-365-5861",
            "fax_number": "650-365-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY M BERKE MS, CP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-365-5861",
        "authorized_official_credential": "MS, CP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "CP1628",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "CP1628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berke Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gary O. Lai, O.D. and Sharon K. Ho, O.D., Professional Corporation (Eyeworks of San Mateo)
• Alvaro Garza, M.D.
• Melissa Andrea Garzon, M.D., MPH
• Erin Elizabeth Gaspar
• Adrienne Gatan

• Prosthetic/Orthotic Supplier in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.