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Active NPI 1669490777 Individual Practitioner Male Practitioner

Gary M Berke , MS, CP

Prosthetist • San Mateo, CA

Professional Overview & Biography Verified Profile Summary

Gary Berke, MS, CP is a registered healthcare professional specializing in Prosthetist in San Mateo, CA. Practice services are available at 2001 WINWARD WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2001 Winward Way
Suite 100

San Mateo, CA 944042499

Telephone 6503655861
Fax 6503655896
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in San Mateo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in San Mateo, CA (316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License None CP1628

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License None CP1628

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
XB0016280 (CA)
Commercial Insurance / Payer ID Medical
XB0016280 (CA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Sunshine Fisher , LCSW

Social Worker - Clinical

NPI 1154651156

Licensed Clinical Social Worker

NPI 1376526525

PHYSICALTHERAPIST

Dr. Robin Estrada , PsyD

Psychologist - Clinical

NPI 1417099276

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2017

Registered at 2001 WINWARD WAY, SUITE 100, SAN MATEO, CA 944042499 (Tel: 6503655861)

📍
Updated Business Mailing Address August 25, 2017

Registered at 2001 WINWARD WAY, SUITE 100, SAN MATEO, CA 944042499 (Tel: (650) 365-5861)

👤
Provider Name / Credentials Updated August 25, 2017

Recorded as GARY BERKE, MS, CP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2017

Orthotist (License #CP1628 in None)

NPI Profile Active October 11, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2011

Registered at 801 BREWSTER AVE, SUITE 270, REDWOOD CITY, CA 940631557 (Tel: 6503655861)

📍
Updated Business Mailing Address October 11, 2011

Registered at 801 BREWSTER AVE, SUITE 270, REDWOOD CITY, CA 940631557 (Tel: 6503655861)

👤
Provider Name / Credentials Updated October 11, 2011

Recorded as GARY BERKE, C.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2011

Orthotist (License #CP1628 in None)

🟢
Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669490777
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

2001 Winward Way, Suite 100

San Mateo, CA 944042499

Phone: 6503655861

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.