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Mr. Gary M Berke, MS,CP
Prosthetist in San Mateo, California
NPI 1669490777

Gary M Berke is a Prosthetist based in San Mateo, CA. Gary M Berke practices in San Mateo, CA and has the professional credentials of MS,CP. The NPI Number for Gary M Berke is 1669490777 and holds a License No. CP1628 (California).

The current practice location address for Gary M Berke is 2001 Winward Way, San Mateo, CA and can be reached out via phone at 650-365-5861 and via fax at 650-365-5896.

Location: 2001 Winward Way, San Mateo, CA, 94404-2499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669490777
Provider Name
Gary M Berke
Credential
MS,CP
Provider Entity Type
Individual
Gender
Male
Address
2001 Winward Way, San Mateo, CA, 94404-2499
Phone Number
650-365-5861
Fax Number
650-365-5896
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XB0016280 01 CA MEDICAL
XB0016280 05 CA
institution
Provider Business Practice Location Address Details
Address
2001 Winward Way
City
San Mateo
State
California
Zip
94404-2499
Phone Number
650-365-5861
Fax Number
650-365-5896
person
Provider Business Mailing Address Details
Address
2001 Winward Way
City
San Mateo
State
California
Zip
94404-2499
Phone Number
650-365-5861
Fax Number
650-365-5896
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
CP1628 ()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
CP1628 ()
Definition
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.
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