The Pediatric Medical Group

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

THE PEDIATRIC MEDICAL GROUP

Practice address

2320 Woolsey St
Ste 301
Berkeley, CA 94705

Phone

(510) 849-1744

Fax

(510) 849-0326

NPI assigned

Sep 7, 2006

Last updated

Aug 22, 2020By 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

Bonni E Hart

Title

Office Manager

Phone

(510) 849-1791

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Corey Kowaleski, MD

  • Pediatrics Physician
  • Berkeley, CA
  • NPI 1356358329
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871696278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST",
            "address_2": "STE 301",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-849-1744",
            "fax_number": "510-849-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST",
            "address_2": "STE 301",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-849-1744",
            "fax_number": "510-849-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "BONNI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "510-849-1791"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Tharpe, MFT
• Katheryn Margaret Thayer-Pham
• The Child Therapy Institute of Marin (Washington Elementary School)
• The Culinary Medicine Group, LLC
• The Link to Children
• The Psychotherapy Institute
• The Redwood Clinic
• The West Oakland Health Council (Baywell Health)
• The West Oakland Health Council (Berkeley Adult Day Health Center)
• The Wright Institute

• Pediatrics Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.