Pine Park Health, INC in Berkeley, CA
This organization bills under NPI 1346879848, an organization record issued on Apr 6, 2020 with the primary taxonomy Internal Medicine Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1346879848
- Legal name
- Pine Park Health, INC
- Entity
- Type 2 · organization
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- Practice location
- 1901 4TH ST STE 201, Berkeley, CA 94710
- Phone
- 510-929-1400
- Mailing address
- Los Angeles, CA
- Enumerated
- Apr 6, 2020
- Record updated
- Feb 4, 2025
- Authorized official
- Credentialing Coordinator (title as filed)
19 clinicians CMS lists with Pine Park Health in Berkeley
- Mallory DawsonGerontology Nurse Practitioner1770444309
- Brittany Demont, NPFamily Nurse Practitioner1316692841
- Lauren Dewalt, AGNPAdult Health Nurse Practitioner1346603248
- Ann Ebiner, FNPNurse Practitioner1316264112
- Laura Eichinger, FNP-CFamily Nurse Practitioner1801662168
- Ashley Fryer, PA-CPhysician Assistant1346018231
- Michael Genualdi, MDGeriatric Medicine (Internal Medicine) Physician1124482823
- Amanda Ilag, AGNPPrimary Care Nurse Practitioner1114745783
- April Koehler, NPAdult Health Nurse Practitioner1356157200
- Jessica Ndiritu, FNPFamily Nurse Practitioner1205507142
- Erin O'Hair, NPPrimary Care Nurse Practitioner1710259361
- Payam Parvinchiha, MDInternal Medicine Physician1851690622
- Jeenaben PatelRegistered Nurse1215329172
- Carole ReillyNurse Practitioner1730910167
- Margot Schmidt, DNPGerontology Nurse Practitioner1154130946
- Taylor Semrad, FNP-BCFamily Nurse Practitioner1144770801
- Anita Shah, NPFamily Nurse Practitioner1932488467
- Edward Teare, APRN-BCAdult Health Nurse Practitioner1871832287
- Melissa Vourlitis, DOFamily Medicine Physician1235236977
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the California secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 207Q00000X Family Medicine Physician
- 207QA0505X Adult Medicine Physician
- 207QG0300X Geriatric Medicine (Family Medicine) Physician
- 207R00000X Internal Medicine Physician
- 363A00000X Physician Assistant
- 363L00000X Nurse Practitioner
- 363LA2100X Acute Care Nurse Practitioner
- 363LA2200X Adult Health Nurse Practitioner
- 363LF0000X Family Nurse Practitioner
- 363LG0600X Gerontology Nurse Practitioner
- 363LP2300X Primary Care Nurse Practitioner
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.