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)
Pine Park Health, Inc is a Internal Medicine Physician organization in Berkeley, CA (NPI 1346879848).
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
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
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
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
Mailing address
Additional practice locations (6)
- 19303 N New Tradition RdSun City West, AZ 85375-3806Phone: (623) 624-8280Fax: (602) 835-0192
- 2645 E Southern AveTempe, AZ 85282-7649Phone: (623) 624-8280Fax: (602) 835-0192
- 501 Via CasitasGreenbrae, CA 94904-1901Phone: (510) 929-1400Fax: (510) 929-1414
- 16977 Healdsburg AveHealdsburg, CA 95448-3261Phone: (510) 929-1400Fax: (510) 929-1414
- 4500 Gilbert StOakland, CA 94611-4657Phone: (510) 929-1400Fax: (510) 929-1414
- 9800 Glen Center DrSan Diego, CA 92131-1686Phone: (858) 832-2500Fax: (858) 400-3023
Registry dates
- Enumerated
- 2020-04-06
- Last updated
- 2025-02-04
- Certified
- 2025-02-04
Frequently asked questions
- What is Pine Park Health, Inc's NPI number?
- Pine Park Health, Inc's National Provider Identifier (NPI) is 1346879848, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Park Health, Inc?
- Pine Park Health, Inc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pine Park Health, Inc located?
- Pine Park Health, Inc's practice location on file with NPPES is 1901 4th St Ste 201, Berkeley, CA 94710-1986.
- What is Pine Park Health, Inc's phone number?
- The practice phone number listed in the NPPES registry for Pine Park Health, Inc is (510) 929-1400.
- Does Pine Park Health, Inc accept Medicare?
- Pine Park Health, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pine Park Health, Inc?
- The authorized official listed on Pine Park Health, Inc's NPPES record is Stephanie Vanzee, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Park Health, Inc's NPI active?
- Yes — Pine Park Health, Inc's NPI (1346879848) is active in the NPPES registry as of the last update on 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.