Myron Tzalel Berdischewsky, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

G34045 Issued in CA

Practice address

12215 Ventura Blvd
Suite 106
Studio City, CA 91604-2533

Phone

(818) 769-2247

NPI assigned

Jan 16, 2007

Last updated

Mar 7, 2023By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013068931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 MILLBROOK DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234426",
            "telephone_number": "818-907-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 VENTURA BLVD",
            "address_2": "SUITE 106",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042533",
            "telephone_number": "818-769-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDISCHEWSKY",
        "first_name": "MYRON",
        "middle_name": "TZALEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G34045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CA",
            "identifier": "G34045",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Studio City, CA
• Providers in Studio City, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.