Healthcare Provider Details

I. General information

NPI: 1700464922
Provider Name (Legal Business Name): REBECCA RENEE RINEHART MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 TELEGRAPH AVE STE 200
BERKELEY CA
94705-2030
US

IV. Provider business mailing address

2915 TELEGRAPH AVE STE 200
BERKELEY CA
94705-2030
US

V. Phone/Fax

Practice location:
  • Phone: 510-843-4544
  • Fax: 510-843-3871
Mailing address:
  • Phone: 105-843-4544
  • Fax: 510-843-3871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA195123
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: