Mallory Elysa Dawson

Gerontology Nurse Practitioner · Berkeley, CA

Individual Active NPI

NPI number 1770444309

Practice location

1901 4TH St Ste 201
Berkeley, CA 94710-1986
Phone
(510) 929-1400
Fax
(510) 929-1414

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NPI record

NPI
1770444309
Entity type
Individual (Type 1)
Enumeration date
November 21, 2025
Last updated
November 21, 2025
Certified
November 21, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Gerontology Nurse Practitioner Primary 363LG0600X 95037603 CA

Mailing address

PO Box 511250
Los Angeles, CA 90051-7805
Phone
(510) 929-1400
Fax
(510) 929-1414

About Mallory Dawson

Mallory Elysa Dawson is a healthcare provider registered in the NPI registry with the primary taxonomy Gerontology Nurse Practitioner (code 363LG0600X). The practice location is 1901 4TH St Ste 201, Berkeley, CA 94710-1986. The NPI number 1770444309 was assigned on November 21, 2025 and the record was last updated on November 21, 2025.

Mallory Dawson lists a license in the registry: #95037603 (CA) for Gerontology Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mallory Elysa Dawson?

The NPI number is 1770444309.

What is the phone number of Mallory Dawson?

The phone number listed for the practice location is (510) 929-1400.

Where is Mallory Dawson located?

1901 4TH St Ste 201, Berkeley, CA 94710-1986.

What is the taxonomy code for Mallory Dawson?

The primary taxonomy code is 363LG0600X – Gerontology Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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