Mallory Elysa Dawson
Gerontology Nurse Practitioner · Berkeley, CA
Mallory Elysa Dawson is a gerontology nurse practitioner with a practice address in Berkeley, California, and NPI 1770444309, issued on Nov 21, 2025. Check the license (California 95037603, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mallory Elysa Dawson
- Primary taxonomy
- Gerontology Nurse Practitioner 363LG0600X
- License number
- 95037603 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1901 4TH St Ste 201, Berkeley, CA 94710
- Phone
- (510) 929-1400
- Enumerated
- Nov 21, 2025
- Record last updated
- Nov 21, 2025
- Fax
- (510) 929-1414
- Medicare enrollment
- Enrolled (PECOS I20251209004011); accepts Medicare assignment
- Medical or professional school
- University Of California, San Francisco School Of Medicine, 2025
- Entity
- Type 1 · individual
8 nearest gerontology nurse practitioner records → All 569 in California → Look up another NPI →
Also registered at 1901 4TH St Ste 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Brittany Demont, NPFamily Nurse Practitioner1316692841
- Ann Ebiner, FNPNurse Practitioner1316264112
- Michael Genualdi, M.D.Geriatric Medicine (Internal Medicine) Physician1124482823
- Amanda Ilag, AGNPPrimary Care Nurse Practitioner1114745783
- Payam Parvinchiha, M.D.Internal Medicine Physician1851690622
- Margot Schmidt, DNPGerontology Nurse Practitioner1154130946
Verify Mallory Elysa Dawson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 95037603Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Pine Park Health, IncBerkeley, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mallory Elysa Dawson among 569 gerontology nurse practitioner records in California
Mallory Elysa Dawson is one of 569 gerontology nurse practitioner records with a practice address in California. 64% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 89% of them.
- NPI issued2025 · 89% of these records are older, 4% newer
- In a Medicare fileYes · 64% of these records are
- In the CMS Doctors and Clinicians fileYes · 42% of these records are
- Graduated2025 · median 2018 among the 239 with a school on file
- Record last updated2025 · 44% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LG0600X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gerontology Nurse Practitioner providers in California
There are 569 gerontology nurse practitioner records in California.
All 569 in California → Every provider in Berkeley → Gerontology Nurse Practitioner nationwide →
The 8 gerontology nurse practitioner records with the nearest ZIP codes
- Madeline Chow, NPBerkeley, CA 947101023031655
- Margot Schmidt, DNPBerkeley, CA 947101154130946
- Briauna Taylor, AGNP-CBerkeley, CA 947031700490729
- Petrice Kam, R.N., NP-BC, WCCBerkeley, CA 947021396967261
- Asgerdur Thorvaldsdottir, NPRichmond, CA 948041386945806
- Penelope Rink, NPOakland, CA 946121700860244
- Adriana Shin, NPOakland, CA 946121821371410
- Martine Bernstein, GNP-BCOakland, CA 946111730422767
Common questions
What is Mallory Elysa Dawson's NPI number?
Mallory Elysa Dawson's National Provider Identifier (NPI) is 1770444309, issued on Nov 21, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Mallory Elysa Dawson located?
The NPPES record lists a practice address at 1901 4TH St Ste 201, Berkeley, CA, 94710. Phone: (510) 929-1400. Providers update this record themselves, so call before visiting.
How can I verify Mallory Elysa Dawson's license?
NPPES lists California license number 95037603, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.