Beth Jo Berkowitz, M.D.
Individual provider Active NPI Pediatrics Physician · Saratoga, CA
NPI 1821137100 · NPPES record last updated Jan 27, 2014
Key facts
- NPI
- 1821137100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- C61701 (CA)
- Practice address
- 19198 De Havilland Dr
Saratoga, CA 95070-4041 - Phone
- (305) 965-4530
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C61701 | CA | MD | Pediatrics Physician |
| 89259 | FL | MD | Pediatrics Physician |
| 036101064 | IL | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C61701 | CA | Yes |
| Pediatrics Physician | 208000000X | 036101064 | IL | |
| Pediatrics Physician | 208000000X | 89259 | FL |
Addresses
Primary practice location
19198 De Havilland Dr
Saratoga, CA 95070-4041
Mailing address
19198 De Havilland Dr
Saratoga, CA 95070-4041
Phone (305) 965-4530
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All providers in Saratoga, CA · Pediatrics 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 Jan 27, 2014. 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.