Individual provider Active NPI

Michelle Derman, WHNP

  • Women's Health Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1962828244
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95001666 Issued in CA
Practice address
8480 Enterprise Way
Oakland, CA 94621-1318
Phone
(510) 746-4700
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95001666 CA Primary

Addresses

Primary practice location

8480 Enterprise Way
Oakland, CA 94621-1318

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 287-7526

Other names 1

  • Michelle Derman-Berger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122000928 CA Practitioner - Nurse Practitioner 3577866615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95001666CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Nov 24, 2015 Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Nov 24, 2015 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients

Locations

1032 A St
Hayward, CA 94541
Phone (510) 300-3800

965 E Yosemite Ave
Ste 2
Manteca, CA 95336
Phone (209) 239-2528

1431 McHenry Ave
Ste 100
Modesto, CA 95350
Phone (209) 579-2300

1400 Broadway
Oakland, CA 94612
Phone (510) 893-4265

8480 Enterprise Way
Oakland, CA 94621
Phone (510) 300-3800

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

678 N Wilson Way
Ste G
Stockton, CA 95205
Phone (209) 446-2081

4555 Precissi Ln
Stockton, CA 95207
Phone (209) 477-4103

Interoperability endpoints

  • Direct secure messaging: michelle.dermanbergernp.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1962828244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-287-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 ENTERPRISE WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211318",
            "telephone_number": "510-746-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERMAN",
        "first_name": "MICHELLE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95001666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DERMAN-BERGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.