AVIS ETTA LOGAN MD
NPI 1235102252
Family Medicine in Berkeley, CA
About Avis Etta Logan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVIS ETTA LOGAN MD (NPI 1235102252) is an individual family medicine provider in Berkeley, California, licensed in California (G73867) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Avis Etta Logan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Avis Logan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Walnut Creek, CA 94597
- Reassigned Medicare billing, California enrollment
- 650 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Avis Logan's NPI number?
The NPI number for Avis Logan is 1235102252. It was assigned to this individual provider in the NPPES registry on February 9, 2006.
Where is Avis Logan located?
Avis Logan practices at 3100 San Pablo Ave # 310, Berkeley, CA 94702. The listed phone number is (510) 985-5020.
What is Avis Logan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Avis Logan enrolled in Medicare?
Yes. Avis Logan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Avis Logan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Avis Logan reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Richmond, CA) and John Muir Physician Network (Walnut Creek, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Avis Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Avis Logan was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Avis Etta Logan, MD · NPI 1235102252
Family Medicine physician in Berkeley, California. Individual provider, active in the CMS NPPES registry since February 9, 2006.
## Identity
- **NPI:** 1235102252 (Entity type: Individual)
- **Enumerated:** February 9, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** G73867 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3100 SAN PABLO AVE # 310, Berkeley, CA 94702
- **Phone:** (510) 985-5020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1235226531, Richmond, CA); John Muir Physician Network (NPI 1841407665, Walnut Creek, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 1990
## Record status
- **NPPES last updated:** July 2, 2018
- **Other identifiers:** Medicaid GR0028630 (CA); Medicaid ZZZ16371Z (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1235102252) · Data from the CMS NPPES public registry.