MEDICARE: SACRED CEDAR PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1174403000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SACRED CEDAR PSYCHIATRY

Provider Business Mailing Address
First Line	:	925 THE ALAMEDA STE 17
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94707-2310
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 THE ALAMEDA STE 17
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94707-2310
Country	:	US
Telephone Number	:	510-463-4699
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIST
Name	:	SETARE ESLAMI
Credential	:	MD
Telephone Number	:	510-463-4699

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	03/23/2026

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