PINE PARK HEALTH, INC
NPI 1346879848
Internal Medicine in Berkeley, CA
NPI Status: Active since April 06, 2020
Contact Information
1901 4TH ST STE 201
BERKELEY, CA
ZIP 94710
Phone: (510) 929-1400
Fax: (510) 929-1414
- Organization
- Internal Medicine
- CLIA Number: 03D2269060
- CLIA Cert. Type: Other - TESTING IN ALF
- CLIA Exp. Date: 09-19-2026
About PINE PARK HEALTH, INC
This page provides the complete NPI Profile along with additional information for Pine Park Health, Inc, an internist established in Berkeley, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1346879848 assigned on April 2020. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Pine Park Health, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Stephanie Vanzee (Credentialing Coordinator)
- NPI
- 1346879848
- Provider Name
- PINE PARK HEALTH, INC
- Entity Type
- Organization
- Location Address
- 1901 4TH ST STE 201 BERKELEY, CA 94710
- Location Phone
- (510) 929-1400
- Location Fax
- (510) 929-1414
- Mailing Address
- PO BOX 511250 LOS ANGELES, CA 90051
- Mailing Phone
- (510) 929-1400
- Mailing Fax
- (510) 929-1414
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-06-2020
- Last Update Date
- 02-04-2025
- Code Navigator
An internist like Pine Park Health, Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 4500 Gilbert St
Oakland, CA 94611
(510) 929-1400 - 19303 N New Tradition Rd
Sun City West, AZ 85375
(623) 624-8280 - 501 Via Casitas
Greenbrae, CA 94904
(510) 929-1400 - 2645 E Southern Ave
Tempe, AZ 85282
(623) 624-8280 - 16977 Healdsburg Ave
Healdsburg, CA 95448
(510) 929-1400 - 9800 Glen Center Dr
San Diego, CA 92131
(858) 832-2500
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207QA0505X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207QG0300X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 5 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 6 | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 7 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 8 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 9 | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 10 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2269060
- Facility Type
- Other - TESTING IN ALF
- Certificate Effective Date
- September 20, 2024
- Certificate Expiration Date
- September 19, 2026
- Laboratory Director
- CANNON M. KENDALL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pine Park Health, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PINE PARK HEALTH, INC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1346879848, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 82. The final step is to find the difference between that total and the next multiple of ten (90 - 82 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 82 is 90. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
BERKELEY, CA 94710
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346879848, enumerated as an "organization" on April 06, 2020.
The provider is located at 1901 4TH ST STE 201 BERKELEY, CA 94710 and the phone number is (510) 929-1400.
Internal Medicine with taxonomy code 207R00000X.
