Healthcare Provider Details

I. General information

NPI: 1962812800
Provider Name (Legal Business Name): BERKELEY ENDOCRINE CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2014
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 COLBY ST SUITE 203B
BERKELEY CA
94705-2083
US

IV. Provider business mailing address

3000 COLBY ST SUITE 203B
BERKELEY CA
94705-2083
US

V. Phone/Fax

Practice location:
  • Phone: 510-883-9005
  • Fax: 510-883-9006
Mailing address:
  • Phone: 510-883-9005
  • Fax: 510-883-9006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA115859
License Number StateCA

VIII. Authorized Official

Name: DR. OMAR M. MURAD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 510-883-9005