Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770444309 Individual Practitioner Female Practitioner

Mallory Elysa Dawson

Nurse Practitioner - Gerontology • Berkeley, CA

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Mallory Dawson is a registered Nurse Practitioner - Gerontology practitioner in Berkeley, CA. With approximately 1 years of clinical practice since graduating from University Of California, San Francisco School Of Medicine in 2025, Mallory Dawson provides healthcare services at the registered practice location at 1901 4TH ST STE 201.

Mallory Dawson is affiliated with Pine Park Health, Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1901 4th St Ste 201

Berkeley, CA 947101986

Telephone 5109291400
Fax 5109291414
Associated Practice Facility / Clinic
🏢 Pine Park Health, Inc Facility NPI 1346879848

Medicare Profile & Education

Medical School

University Of California, San Francisco School Of Medicine

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Berkeley, CA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -6.5 yrs vs City Avg
City Avg: 7.5 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Berkeley, CA (577 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dawson (1 Years) 1 Yrs
Berkeley Specialty Average (7.5 Years) 7.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-21
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License CA 95037603

Definition to come...

Hospital & Practice Group Affiliations

Pine Park Health, Inc

None, Berkeley, CA 94710

Phone: 5109291400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Rebecca Armstrong , PA

Physician Assistant

NPI 1023765377

Physician Assistant

Carol Williams , RN, MSN-FNP

Nurse Practitioner - Family

NPI 1063783066

Registered Nurse, MSNFNP

Martha Lynch , PA-C

Physician Assistant

NPI 1093727133

Physician Assistant (Certified)

Sabine Haas , FNP-BC

Nurse Practitioner - Family

NPI 1114567500

Family Nurse Practitioner (Board Certified)

Amanda Ilag , AGNP

Nurse Practitioner - Primary Care

NPI 1114745783

Adult-Gerontology Nurse Practitioner

Dr. Michael Genualdi , MD

Internal Medicine - Geriatric Medicine

NPI 1124482823

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 21, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2025

Registered at 1901 4TH ST STE 201, BERKELEY, CA 947101986 (Tel: 5109291400)

📍
Updated Business Mailing Address November 21, 2025

Registered at PO BOX 511250, LOS ANGELES, CA 900517805 (Tel: 5109291400)

👤
Provider Name / Credentials Updated November 21, 2025

Recorded as MALLORY DAWSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2025

Nurse Practitioner (License #95037603 in CA)

🟢
Initial NPI Registration & Enumeration November 21, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mallory Dawson. Be the first to share your experience!

Sign in to leave a review for Mallory Dawson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1770444309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2025
Last Update: November 21, 2025
Sole Proprietor: No

Mailing Address

Po Box 511250

Los Angeles, CA 900517805

Phone: 5109291400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.