Marc B. Berzansky, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A8064 Issued in CA

Practice address

911 Moraga Rd
Lafayette, CA 94549-4579

Phone

(925) 961-9120

Fax

(510) 654-2464

NPI assigned

Aug 16, 2006

Last updated

Nov 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 13

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

DRH Medical GroupGroup PAC ID 1456794866, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6309/brand/2/csg/1/fhir/r4
• Direct secure messaging: marc.berzansky@337577483108356.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRH Medical Group

  • Urgent Care Clinic/Center
  • Oakland, CA
  • NPI 1790560225
  Medicare reassignment Care Compare group NPD
• Michael C Hoaglin, MD, Inc

  dba Gut Feelings Psychosomatic Medicine

  • Psychosomatic Medicine Physician
  • Oakland, CA
  • NPI 1558954545
  NPD
• Afato Medical Corporation

  dba Regency Urgent Care

  • Family Medicine Physician
  • Yuba City, CA
  • NPI 1134142524
  NPD (past)
• Regency Urgent Care Medical Corp

  • Urgent Care Clinic/Center
  • Yuba City, CA
  • NPI 1356394480

  Family Medicine

  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1013020833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494579",
            "telephone_number": "925-962-9120",
            "fax_number": "510-654-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494579",
            "telephone_number": "925-961-9120",
            "fax_number": "510-654-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERZANSKY",
        "first_name": "MARC",
        "middle_name": "B.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "1664061",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2110598",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "020A80640",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "2315376",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8814849",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WESTERN HEALTH ADVANTAGE",
            "identifier": "MCMG253600",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX80640",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERPLAN",
            "identifier": "81949",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "100564",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "20A8064",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "000810568292",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7613455",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "90134403",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyra Bennett, LMFT #111017
• Judith Ann Bensinger Haynes, MED, MA, LMFT 114669
• Joseph Bentz, LMFT
• Elea Bernou, PSYD
• Jacques Bernou Jr., MSTCM
• Haylee Richell Bettencourt
• Bianca Jarvis, LCSW a Licensed Clinical Social Worker Corp, Inc.
• Rachel Sonia Birger Tabachnik, M.A., BCBA
• Colette Marie Bischer-Choate, MFT
• Catherine Bischoff, LMFT

• Family Medicine Physician in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.