Active NPI
Juliet Patricia Granberg, MD
- Pediatrics Physician
- Berkeley, CA
National Provider Identifier
1720180995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A023706
- Practice address
- 2915 Telegraph Ave
Suite 304
Berkeley, CA 94705 - Phone
- (510) 843-4077
- Fax
- (510) 841-6772
- NPI assigned
- Sep 1, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A023706 | CA | Primary |
Addresses
Primary practice location
2915 Telegraph Ave
Suite 304
Berkeley, CA 94705
Mailing address
2915 Telegraph Ave
Suite 304
Berkeley, CA 94705
Phone (510) 843-4077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A023706 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720180995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2915 TELEGRAPH AVE",
"address_2": "SUITE 304",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94705",
"telephone_number": "510-843-4077",
"fax_number": "510-841-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 TELEGRAPH AVE",
"address_2": "SUITE 304",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94705",
"telephone_number": "510-843-4077",
"fax_number": "510-841-6772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANBERG",
"first_name": "JULIET",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A023706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.