Active NPI
Janine W. Bera, MD
- Internal Medicine Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A74308
- 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, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A743080 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, Davis School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| A74308 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Past | 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
- janine.bera.p1@direct.wellspacehealth.nextgenshare.com
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Wellspace Health Amador Community Health Center | 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 Center | Federally qualified health center | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
Jun 1, 2017 Jun 1, 2017 Jun 1, 2017 |
| Wellspace Health | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2017 Jun 1, 2017 |
| Wellspace Health | Federally qualified health center | Contracted Managing Employee Corporate Officer Corporate Director |
Jun 1, 2017 Jun 1, 2017 Jun 1, 2017 |
| Wellspace Health | Federally qualified health center | Contracted Managing Employee Corporate Officer Corporate Director |
Jun 1, 2017 Jun 1, 2017 Jun 1, 2017 |
| Wellspace Health | Federally qualified health center | Contracted Managing Employee Corporate Officer Corporate Director |
Jun 1, 2017 Jun 1, 2017 Jun 1, 2017 |
| Wellspace Health Sunrise Community | Federally qualified health center | Contracted Managing Employee Corporate Officer Corporate Director |
Jun 1, 2017 Jun 1, 2017 Jun 1, 2017 |
| Wellspace Health Sierra Garden 2 | 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.
-
- Federally Qualified Health Center (FQHC)
- Martell, CA
- NPI 1225550874
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
dba WellSpace Health Sierra Gardens 2 Community Health Center
- Federally Qualified Health Center (FQHC)
- Roseville, CA
- NPI 1376188417
Corporate Director, Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1396198982
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
dba WellSpace Health Arden-Arcade Community Health Center
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1548789050
Corporate Officer, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1720546724
Contracted Managing Employee, Corporate Director, Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Citrus Heights, CA
- NPI 1730643990
Contracted Managing Employee, Corporate Director, Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1811455819
Contracted Managing Employee, Corporate Director, Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1932663192
Contracted Managing Employee, Corporate Director, Corporate Officer
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.
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124112933
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Federally Qualified Health Center (FQHC)
- North Highlands, CA
- NPI 1326175100
-
dba WellSpace Health Placer Community Health Center
- Federally Qualified Health Center (FQHC)
- Roseville, CA
- NPI 1548064587
-
dba WellSpace Health Galt Dental Clinic
- Dental Clinic/Center
- Galt, CA
- NPI 1669982237
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.