Cornelia Moura Pessoa, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G60130 Issued in CA

Practice address

2320 Woolsey St
Suite 202
Berkeley, CA 94705-1973

Phone

(510) 486-1700

Fax

(510) 486-1133

NPI assigned

Oct 23, 2006

Last updated

Nov 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Practitioners 2

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.

• Adrianna Janell Browne, M.D.

  • Dermatology Physician
  • San Francisco, CA
  • NPI 1699968305
  Medicare reassignment
• Helen O Chodsky, PA-C

  • Surgical Physician Assistant
  • Berkeley, CA
  • NPI 1376868497
  Medicare reassignment

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.

• Cornelia M Pessoa, MD

  dba Dermatology Associates of Berkeley

  • Specialist
  • Berkeley, CA
  • NPI 1760675656
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1689757635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST",
            "address_2": "SUITE 202",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051973",
            "telephone_number": "510-486-1700",
            "fax_number": "510-486-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST",
            "address_2": "SUITE 202",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051973",
            "telephone_number": "510-486-1700",
            "fax_number": "510-486-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESSOA",
        "first_name": "CORNELIA",
        "middle_name": "MOURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G60130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Dion Perry, DO
• David W Perry, PHD
• Ron Perry, PSY.D.
• Shiv R Pertab, RPH
• Tsipora Peskin, DSW,LCSW
• Pet-CT Imaging of Berkeley, LLC
• Carol Jean Peters, N.P.B.S.N,M.S.N
• Pamela Nicole Peters
• Therese Oneill Peters
• Cal Petersen

• Specialist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.