Ronald H Berman, M.D.
Individual provider Active NPI Internal Medicine Physician · San Pablo, CA
NPI 1700967361 · NPPES record last updated Apr 21, 2010
Key facts
- NPI
- 1700967361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- C27773 (CA)
- Practice address
- 2023 Vale Rd
Suite 110
San Pablo, CA 94806 - Phone
- (510) 235-1723
- Fax
- (510) 235-1700
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Virginia School of Medicine, 1964
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2023 Vale Rd
Suite 110
San Pablo, CA 94806-3891
Phone (510) 235-1723
Hospital & facility affiliations
- Ace Home Health Care & Hospice, Inc
- Alta Bates Summit Medical Center - Alta Bates Camp
- Alta Bates Summit Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101021000482 | CA | Practitioner - Internal Medicine | 4587857669 | Practice locations: San Pablo, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C27773 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C27773 | CA | Yes |
Addresses
Primary practice location
2023 Vale Rd
Suite 110
San Pablo, CA 94806
Mailing address
2023 Vale Road
Suite 110
San Pablo, CA 94806
Phone (510) 235-1723
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C277730 | Medicaid | CA |
Other providers in San Pablo, CA
- Flor Bazan
- Jovanka Doreen Beckles
- Sophia Beletsis
- Abeba Benton-Neylon
- Nicholas A Benzschawel
- Rashaad Alexander Bess
- Erika Yolanda Blanco
- BM Behavioral Center, LLC
- Larkin Marie Boero
- Ariel Balmore Bonilla-Arevalo
All providers in San Pablo, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.