Provider Demographics
NPI:1053110346
Name:BERGIN, ALLISON CATHARINE
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:CATHARINE
Last Name:BERGIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3256 PENRYN RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LOOMIS
Mailing Address - State:CA
Mailing Address - Zip Code:95650-8052
Mailing Address - Country:US
Mailing Address - Phone:916-652-5814
Mailing Address - Fax:
Practice Address - Street 1:3256 PENRYN RD STE 110
Practice Address - Street 2:
Practice Address - City:LOOMIS
Practice Address - State:CA
Practice Address - Zip Code:95650-8052
Practice Address - Country:US
Practice Address - Phone:916-652-5814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator