Individual provider Active NPI

Janine W. Bera, MD

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1649358383
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A74308 Issued in CA
Practice address
2425 Alhambra Blvd
Sacramento, CA 95817
Phone
(916) 313-8400
Fax
(916) 436-5559
NPI assigned
Nov 1, 2006
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A74308 CA Primary

Addresses

Primary practice location

2425 Alhambra Blvd
Sacramento, CA 95817

Mailing address

777 12TH St Ste 250
Sacramento, CA 95814-1929
Phone (916) 569-8651

Other identifiers 1

IdentifierTypeStateIssuer
00A743080MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000677 CA Practitioner - Internal MedicinePractitioner - Family Practice 7012197528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of California, Davis School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspace HealthGroup PAC ID 8426157975, 29 clinicians

Practice addresses (Care Compare)

2425 Alhambra Blvd
Sacramento, CA 95817-1955
Phone (916) 550-5481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A74308CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Jun 1, 2017 Accepting new patients
Wellspace Health Current Accepting new patients
Wellspace Health CurrentSince Jan 11, 2018 Accepting new patients
Wellspace Health PastSince Apr 27, 2025 Accepting new patients
Wellspace Health Past Accepting new patients

Locations

5959 Greenback Ln
Ste 500
Citrus Heights, CA 95621
Phone (916) 725-1177

10423 Old Placerville Rd
Ste A
Sacramento, CA 95827
Phone (916) 569-8600

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

2425 Alhambra Blvd
Sacramento, CA 95817
Phone (916) 313-8400

2433 Marconi Ave
Sacramento, CA 95821
Phone (916) 313-8455

3415 Martin Luther King Jr Blvd
Sacramento, CA 95817
Phone (916) 233-4910

4990 Stockton Blvd
Sacramento, CA 95820
Phone 91646946900277

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

Interoperability endpoints

  • Direct secure messaging: janine.bera.p1@direct.wellspacehealth.nextgenshare.com
  • Direct secure messaging: jbera769643@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wellspace Health Amador Community Health CenterMartell, CA, CCN 921092 Federally qualified health center Corporate Officer
W-2 Managing Employee
Operational/Managerial Control
Jun 1, 2017
Jun 1, 2017
Jun 1, 2017
Wellspace Health Alhambra Community Health CenterSacramento, CA, CCN 921093 Federally qualified health center Corporate Officer
W-2 Managing Employee
Operational/Managerial Control
Jun 1, 2017
Jun 1, 2017
Jun 1, 2017
Wellspace HealthSacramento, CA, CCN 921145 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2017
Jun 1, 2017
Wellspace HealthSacramento, CA, CCN 921843 Federally qualified health center Contracted Managing Employee
Corporate Officer
Corporate Director
Jun 1, 2017
Jun 1, 2017
Jun 1, 2017
Wellspace HealthSacramento, CA, CCN 921842 Federally qualified health center Contracted Managing Employee
Corporate Officer
Corporate Director
Jun 1, 2017
Jun 1, 2017
Jun 1, 2017
Wellspace HealthSacramento, CA, CCN 921841 Federally qualified health center Contracted Managing Employee
Corporate Officer
Corporate Director
Jun 1, 2017
Jun 1, 2017
Jun 1, 2017
Wellspace Health Sunrise CommunityCitrus Heights, CA, CCN 921844 Federally qualified health center Contracted Managing Employee
Corporate Officer
Corporate Director
Jun 1, 2017
Jun 1, 2017
Jun 1, 2017
Wellspace Health Sierra Garden 2Roseville, CA, CCN 921840 Federally qualified health center Corporate Officer
Corporate Director
Jun 1, 2017
Jun 1, 2017

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1649358383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 12TH ST STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141929",
            "telephone_number": "916-569-8651",
            "fax_number": "916-447-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 ALHAMBRA BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95817",
            "telephone_number": "916-313-8400",
            "fax_number": "916-436-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERA",
        "first_name": "JANINE",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A743080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.