Mija Berg is a Nurse Practitioner in Vallejo, California. Mija Berg practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mija Berg is 1225123243. The last update date is 2007-12-13.
Mija Berg's current location address is 243 Georgia Street, Vallejo, California. You can contact this provider via phone number 7075568100 and fax number 7075568107. The mailing address for Mija Berg is 243 Georgia Street, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mija Berg |
|---|---|
| Address | 243 Georgia Street, Vallejo, California |
| Phone Number | 7075568100 |
| Fax Number | 7075568107 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1225123243 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-12-13 |
Provider Mailing Address Detail
| Address | 243 Georgia Street |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 94590 |
| Phone Number | 7075568100 |
| Fax Number | 7075568107 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP479996 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC70543G | CA | -- | |
| HAP70543G | CA | FPACT | |
| 55-1915 | CA | FQHC MEDICARE PART A | |
| ZZZ23222Z | CA | FQHC MEDICARE PART B |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mija Berg by the Centers for Medicare & Medicaid Services?
The Mija Berg has been assigned the NPI (National Provider Identifier) 1225123243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Mija Berg's facilities are situated?
The facilities of Mija Berg are physically located at the following address: 243 Georgia Street, Vallejo, CA, 94590.
What is Mija Berg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mija Berg is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did Mija Berg receive its 1225123243 assignment from the Centers for Medicare & Medicaid Services?
The Mija Berg was assigned its 1225123243 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mija Berg most recently updated or revised?
The information pertaining to Mija Berg, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-13.
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