<Unavail>

LBN: Gary M Berke Ms, Cp
<Unavail> is an health care organization with primary practice located at 2001 Winward Way Suite 100, San Mateo CA 94404-2499. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Gary M Berke Ms, Cp can be contacted via phone (650) 365-5861, or through Berke, Gary M via phone (650) 365-5861.

Contact Information

Primary practice address
2001 Winward Way Suite 100 San Mateo CA 94404-2499
Phone: (650) 365-5861
Fax: (650) 365-5896
Website:
Map and Directions
Authorized official contact:
Name: Berke, Gary M MS, CP
Phone: (650) 365-5861

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X CP1628
Suppliers / Prosthetic/Orthotic Supplier 335E00000X CP1628

Profile Details

NPI number 1467635367
LBN Legal business name Gary M Berke Ms, Cp
DBA Doing business as <Unavail>
Authorized official Berke, Gary M MS, CP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2007
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467635367 NPPES
California Other XB0016280 MEDICAL
California MEDICAID XB0016280 MEDICAL

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