OrganizationActiveAccepts Medicare

Pine Park Health, Inc

NPI 1346879848 · Internal Medicine Physician · Berkeley, CA

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1346879848
Entity type: Organization
Primary specialty: Internal Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Stephanie Vanzee, Credentialing Coordinator(469) 401-8820

Specialties & taxonomies

Internal Medicine PhysicianPrimary207R00000X
Allopathic & Osteopathic Physicians
Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Geriatric Medicine (Family Medicine) Physician207QG0300X
Allopathic & Osteopathic Physicians
Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Acute Care Nurse Practitioner363LA2100X

Profile Score

Established profile(73/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
7 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1901 4th St Ste 201

Berkeley, CA 94710-1986

Phone: (510) 929-1400

Fax: (510) 929-1414

Street-level locationGet directions

More CA providers

Mailing address

Po Box 511250

Los Angeles, CA 90051-7805

Additional practice locations (6)

19303 N New Tradition Rd
Sun City West, AZ 85375-3806
Phone: (623) 624-8280
Fax: (602) 835-0192
2645 E Southern Ave
Tempe, AZ 85282-7649
Phone: (623) 624-8280
Fax: (602) 835-0192
501 Via Casitas
Greenbrae, CA 94904-1901
Phone: (510) 929-1400
Fax: (510) 929-1414
16977 Healdsburg Ave
Healdsburg, CA 95448-3261
Phone: (510) 929-1400
Fax: (510) 929-1414
4500 Gilbert St
Oakland, CA 94611-4657
Phone: (510) 929-1400
Fax: (510) 929-1414
9800 Glen Center Dr
San Diego, CA 92131-1686
Phone: (858) 832-2500
Fax: (858) 400-3023

Enumerated: 2020-04-06
Last updated: 2025-02-04
Certified: 2025-02-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.