JENNIE BERTONE
NPI 1366997272
Student in an Organized Health Care Education/Training Program in Oakland, CA

Q: What is Jennie Bertone's NPI number?

The NPI number for Jennie Bertone is 1366997272. It was assigned to this individual provider in the NPPES registry on August 20, 2016.

Q: What is Jennie Bertone's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: Is Jennie Bertone enrolled in Medicare?

No. Jennie Bertone has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jennie Bertone was last updated on August 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 20, 2016Opted out of Medicare · through Jan 2, 2028

2501 HARRISON ST, OAKLAND, CA 94612(510) 444-3344 Get Directions Write a Review

NPPES record last updated: August 20, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Jennie Bertone NPPES

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

JENNIE BERTONE (NPI 1366997272) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since August 2016. She has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1366997272

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJENNIE BERTONE

Location Address2501 HARRISON STOakland, CA 94612-3811

Mailing Address2903 Wheeler StBerkeley, CA 94705-1810 · (510) 599-5112

Phone(510) 444-3344

Sole ProprietorNo

Enumeration DateAugust 20, 2016

✔ NPI 1366997272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2501 HARRISON ST, Oakland, CA 94612

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennie Bertone has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024

Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

JOHN F. KENNEDY UNIVERSITY

Marriage & Family Therapist