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DR. EDWARD JOHN BERTACCINI MD
NPI 1063432623
Anesthesiology - Critical Care Medicine in Palo Alto, CA

Active since July 19, 2006PECOS Enrolled
3801 MIRANDA AVE, DEPT. OF ANESTHESIA, 112A, PALO ALTO VA HOSPITAL, PALO ALTO, CA 94304(650) 493-5000(650) 852-3423 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edward John Bertaccini Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD JOHN BERTACCINI MD (NPI 1063432623) is an individual critical care medicine provider in Palo Alto, California, licensed in California (G71364) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063432623
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameDR. EDWARD JOHN BERTACCINICredential: MD
Location Address3801 MIRANDA AVE, DEPT. OF ANESTHESIA, 112A, PALO ALTO VA HOSPITALPalo Alto, CA 94304-1207
Mailing Address3801 Miranda Ave, Dept. Of Anesthesia, 112a, Palo Alto Va HospitalPalo Alto, CA 94304-1207 · (650) 493-5000 · Fax (650) 852-3423
Phone(650) 493-5000
Fax(650) 852-3423
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063432623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License✔ Licensed in CA · G71364
Definition

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

3801 MIRANDA AVE, Palo Alto, CA 94304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward John Bertaccini Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAURA ELIZABETH STODDARD PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
DR. KEVIN MCKENNA PH.D.
Psychologist (Clinical)
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
VALLANCE WA-LUN AU-YEUNG PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
ARLENE VICENTE-VELASCO
Registered Nurse
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MAHNOOSH KUHBANANI SEIFODDINI M.D.
Internal Medicine
3801 MIRANDA AVE, VA PALO ALTO HEALTH CARE SYSTEM (111STC)
PALO ALTO, CA 94304
Santa Clara County (209) 946-3400
DR. EDWARD LEE COHEN MD
Obstetrics & Gynecology
3801 MIRANDA AVE, #112
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MRS. JEAN JONES GURGA OTR/L
Occupational Therapist
3801 MIRANDA AVE, PMRS (117)
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MS. ELLEN WHITE FORD LCSW, MSW, MPH
Social Worker (Clinical)
3801 MIRANDA AVE, VAPAHCS SOCIAL WORK SERVICE, 122 PA
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Bertaccini's NPI number?

The NPI number for Edward Bertaccini is 1063432623. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Edward Bertaccini located?

Edward Bertaccini practices at 3801 Miranda Ave Dept. Of Anesthesia, 112A, Palo Alto VA Hospital, Palo Alto, CA 94304. The listed phone number is (650) 493-5000.

What is Edward Bertaccini's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Edward Bertaccini enrolled in Medicare?

Yes. Edward Bertaccini is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Bertaccini was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.