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GLORIA ALEXIS VILLEGAS EIDE
NPI 1720461346
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since June 30, 2015PECOS Enrolled
3075 ADELINE ST STE 120, BERKELEY, CA 94703(510) 848-1112 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gloria Alexis Villegas Eide NPPES

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

GLORIA ALEXIS VILLEGAS EIDE (NPI 1720461346) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720461346
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGLORIA ALEXIS VILLEGAS EIDE
Location Address3075 ADELINE ST STE 120Berkeley, CA 94703-2579
Mailing Address3075 Adeline St Ste 120Berkeley, CA 94703-2579 · (510) 848-1112
Phone(510) 848-1112
Sole ProprietorNo
Enumeration DateJune 30, 2015
Last NPPES UpdateSeptember 12, 2018
✔ NPI 1720461346 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.
3075 ADELINE ST STE 120, Berkeley, CA 94703
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gloria Alexis Villegas Eide 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gloria Alexis Eide reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
7.7 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555
Grow Healthcare Group PC
41 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

COLLEEN THERESE MAYONE
Occupational Therapist
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 225-7610
DR. ADAM MOSS PSYD
Psychologist (Clinical)
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
JESSICA BOLBER
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
ELISA PACE
Rehabilitation Practitioner
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
DR. CHRISTOPHER GEORGE PSYD
Psychologist (Clinical)
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
GALIT LOTAN OUTMEZGUINE
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 225-7610
MS. MEGAN S BONDY ASW
Social Worker
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
ALYSE GINTER
Counselor
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112

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 Gloria Alexis Eide's NPI number?

The NPI number for Gloria Alexis Eide is 1720461346. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Gloria Alexis Eide located?

Gloria Alexis Eide practices at 3075 Adeline St Ste 120, Berkeley, CA 94703. The listed phone number is (510) 848-1112.

What is Gloria Alexis Eide's specialty?

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

Is Gloria Alexis Eide enrolled in Medicare?

Yes. Gloria Alexis Eide is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gloria Alexis Eide's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gloria Alexis Eide reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Richmond, CA) and Grow Healthcare Group PC (San Jose, 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 Gloria Alexis Eide'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 Gloria Alexis Eide was last updated on September 12, 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.