Alta Anatomic Pathology Medical Group
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Berkeley, CA
NPI 1720057367 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1720057367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- Legal business name
- ALTA ANATOMIC PATHOLOGY MEDICAL GROUP
- Practice address
- 2450 Ashby Ave
Berkeley, CA 94705-2067 - Phone
- (510) 204-1642
- NPI assigned
- Mar 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jerome S Burke, M.D.
- Title
- President
- Phone
- (510) 204-1642
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician |
207ZC0500X | |||
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | Yes |
Addresses
Primary practice location
2450 Ashby Ave
Berkeley, CA 94705-2067
Mailing address
PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0022700 | Other | CA | DHS MEDI-CAL |
Other providers in Berkeley, CA
- Allskin Dermatology
- Elliett Alomar
- Ellen M Alonso Street
- Arzelle Athene Alonzo-Agullana
- Lynne S Alper
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center
- Alta CT Services a California Limited Partnership
- Alta East Bay Pathology, Inc.
All providers in Berkeley, CA · Anatomic Pathology & Clinical Pathology 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 Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.