Berkeley Professional Advisors, LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

BERKELEY PROFESSIONAL ADVISORS, LLC

Practice address

177 E Colorado Blvd Ste 200
Pasadena, CA 91105-1955

Phone

(909) 533-9930

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By 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

Effuah A Harris, DMD

Title

Managing Member

Phone

(909) 533-9930

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1699459008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917500778",
            "telephone_number": "909-533-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 E COLORADO BLVD STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051955",
            "telephone_number": "909-533-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY PROFESSIONAL ADVISORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "EFFUAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "909-533-9930",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Lynn Bergman
• Ronni Gordon Bergman, NP
• Eric Bergstrom, M.D.
• Besega Menelik Berhane
• Heidi Berinstein Kirkman, M.F.T.
• Gabriela Anise Berkeley
• Jenny Berman
• Julia Fay Berman
• Ana J Bermudez
• Edgar Bermudez

• Oral & Maxillofacial Surgery (D.M.D.) in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.