BERKELEY CARDIOVASCULAR MEDICAL GROUP – NPI #1194746057
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

BERKELEY CARDIOVASCULAR MEDICAL GROUP is a provider located in OAKLAND, CA. NPPES has assigned the NPI number 1194746057 to BERKELEY CARDIOVASCULAR MEDICAL GROUP on July 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 2 years ago on May 15, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BERKELEY CARDIOVASCULAR MEDICAL GROUP below.

NPI Profile for
BERKELEY CARDIOVASCULAR MEDICAL GROUP

NPI Number
1194746057
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BERKELEY CARDIOVASCULAR MEDICAL GROUP
Primary location
3300 WEBSTER ST STE 702
OAKLAND, CA 94609-3122
Phone: (510) 549-4220 Fax: (510) 433-0744
1 Other location(s):
15 Altarinda Rd Ste 112
Orinda, CA 94563-2607
Phone: (510) 549-4220
Fax: (510) 433-0744
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN EDELEN
PRESIDENT
Phone: (510) 549-4220
Updated
Certification Date
May 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BERKELEY CARDIOVASCULAR MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCAGR0025431
medicaidCAGR0025433
medicaidCAGR0025432
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.