DR. ESPECIANISE LORESCA M.D.
NPI 1265845200
Family Medicine in Berkeley, CA

Active since June 06, 2014PECOS EnrolledAccepts Medicare Assignment
2500 MILVIA ST, BERKELEY, CA 94704(510) 204-5514 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2024, Feb 26, 2023, Oct 14, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Especianise Loresca M.d. NPPES

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

DR. ESPECIANISE LORESCA M.D. (NPI 1265845200) is an individual family medicine provider in Berkeley, California, licensed in California (A142671) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Quentin, and is a graduate of University Of California, San Francisco School Of Medicine (2014).

NPPES Registry Identity

NPI1265845200
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ESPECIANISE LORESCACredential: M.D.
Location Address2500 MILVIA STBerkeley, CA 94704-2636
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (510) 204-5514
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2014
Enumeration DateJune 6, 2014
Last NPPES UpdateOctober 3, 20245 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1265845200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A142671
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2500 MILVIA ST, Berkeley, CA 94704

Secondary Practice Location 1

Location 11 Main StSan Quentin, CA 94964-1000 · Phone (415) 454-1460

Other Identifiers 1

OtherA142671CA · State Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Especianise Loresca M.d. 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.

PECOS PAC ID7113287822
PECOS Enrollment IDI20180126002565
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services79 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
58 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services34 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers16 claims35 services$4.74 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers11 claims11 services$210.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
2500 MILVIA ST
BERKELEY, CA 94704
Obstetrics & Gynecology
2500 MILVIA ST
BERKELEY, CA 94704
Nurse Practitioner (Family)
2500 MILVIA ST
BERKELEY, CA 94704
Legal Medicine
2500 MILVIA ST, SUITE 116
BERKELEY, CA 94704
Optometrist
2500 MILVIA ST, #208
BERKELEY, CA 94704
Pediatrics
2500 MILVIA ST
BERKELEY, CA 94704
Obstetrics & Gynecology
2500 MILVIA ST
BERKELEY, CA 94704
Nurse Practitioner (Family)
2500 MILVIA ST
BERKELEY, CA 94704

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 Especianise Loresca's NPI number?

The NPI number for Especianise Loresca is 1265845200. It was assigned to this individual provider in the NPPES registry on June 6, 2014.

Where is Especianise Loresca located?

Especianise Loresca practices at 2500 Milvia St, Berkeley, CA 94704. The listed phone number is (510) 204-5514.

What is Especianise Loresca's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Especianise Loresca enrolled in Medicare?

Yes. Especianise Loresca 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.

When was this NPI record last updated?

The NPPES record for Especianise Loresca was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.