Alice Berg Physician Assistant Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ALICE BERG PHYSICIAN ASSISTANT PROFESSIONAL CORPORATION

Practice address

761 B Bar K Rd Unit 57
Douglas City, CA 96024

Phone

(530) 366-6141

Fax

(530) 508-8179

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By 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

Alice Ann Berg, PA-C

Title

Ceo,Cfo,Secretary

Phone

(530) 366-6141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1568368157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 B BAR K RD UNIT 57",
            "city": "DOUGLAS CITY",
            "state": "CA",
            "postal_code": "96024",
            "telephone_number": "530-366-6141",
            "fax_number": "530-508-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 B BAR K RD UNIT 57",
            "city": "DOUGLAS CITY",
            "state": "CA",
            "postal_code": "96024",
            "telephone_number": "530-366-6141",
            "fax_number": "530-508-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE BERG PHYSICIAN ASSISTANT PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO,CFO,SECRETARY",
        "authorized_official_telephone_number": "530-366-6141",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.