Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pine Park Health, Inc

Organization Family Medicine Physician · NPI 1346879848

Pine Park Health, Inc is a Family Medicine Physician in Berkeley, California. Works from 7 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
11
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1901 4th St Ste 201
Berkeley, CA 94710-1986
Phone: (510) 929-1400
Fax: (510) 929-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Adult Medicine Physician Taxonomy 207QA0505X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1346879848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Vanzee — Credentialing Coordinator · (469) 401-8820
NPI enumeratedApril 6, 2020
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025
Mailing addressPo Box 511250, Los Angeles, CA 90051-7805

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