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

Mallory Elysa Dawson

Individual provider Gerontology Nurse Practitioner · NPI 1770444309

Mallory Elysa Dawson is a Nurse Practitioner in Berkeley, California. Graduated from University of California, San Francisco School of Medicine in 2025, 1 year ago. Practices with Pine Park Health, Inc, a 23-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2025

Practice location Address checks out

1901 4th St Ste 201
Berkeley, CA 94710-1986
Phone: (510) 929-1400
Fax: (510) 929-1414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 95037603 (CA)

Record details

NPI number1770444309
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 21, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing addressPo Box 511250, Los Angeles, CA 90051-7805

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Pine Park Health, Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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