Provider Demographics
NPI:1649358383
Name:BERA, JANINE W (MD)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:W
Last Name:BERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:777 12TH ST STE 250
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-1929
Mailing Address - Country:US
Mailing Address - Phone:916-569-8651
Mailing Address - Fax:916-447-1780
Practice Address - Street 1:2425 ALHAMBRA BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-313-8400
Practice Address - Fax:916-436-5559
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2020-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA74308207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A743080Medicaid
H69196Medicare UPIN
CA00A743080Medicaid