Healthcare Provider Details

I. General information

NPI: 1215539606
Provider Name (Legal Business Name): SARAH BERRY MS, RN, PNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2020
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 INTERNATIONAL BLVD
OAKLAND CA
94601-2228
US

IV. Provider business mailing address

764 SANTA CLARA AVE
ALAMEDA CA
94501-3334
US

V. Phone/Fax

Practice location:
  • Phone: 510-434-5300
  • Fax:
Mailing address:
  • Phone: 404-401-9676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95015203
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95168418
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: