Provider Demographics
NPI:1700464922
Name:RINEHART, REBECCA RENEE (MD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:RENEE
Last Name:RINEHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 TELEGRAPH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2030
Mailing Address - Country:US
Mailing Address - Phone:105-843-4544
Mailing Address - Fax:510-843-3871
Practice Address - Street 1:2915 TELEGRAPH AVE STE 200
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2030
Practice Address - Country:US
Practice Address - Phone:510-843-4544
Practice Address - Fax:510-843-3871
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA195123208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program