Healthcare Provider Details

I. General information

NPI: 1942797956
Provider Name (Legal Business Name): ANNE ELIZABETH BERENS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ANNE ELIZABETH KALT

II. Dates (important events)

Enumeration Date: 04/16/2018
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120B SANTA MARGARITA AVE STE 3
MENLO PARK CA
94025-2725
US

IV. Provider business mailing address

178 HILLSIDE AVE
MENLO PARK CA
94025-6538
US

V. Phone/Fax

Practice location:
  • Phone: 408-438-5179
  • Fax: 650-530-1538
Mailing address:
  • Phone: 857-400-6114
  • Fax: 650-530-1538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberA164834
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: