Individual provider Active NPI

Sagir Girish Bera, D.O., M.P.H., M.S.

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1033406574
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A13747 Issued in CA
Practice address
4323 W Riverside Dr
Burbank, CA 91505-4044
Phone
(818) 556-2700
Fax
(818) 295-3450
NPI assigned
Jul 5, 2011
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A13747 CA Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 20A13747 CA

Addresses

Primary practice location

4323 W Riverside Dr
Burbank, CA 91505-4044

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 301-8732

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151016000884 CA Practitioner - Family PracticePractitioner - Sports Medicine 7911126735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 Flower St
Glendale, CA 91201-3007
Phone (818) 659-5000

4323 W Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
20A13747CAMDSports Medicine (Family Medicine) Physician
6213AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jul 1, 2018 Accepting new patients
Regents of the University of California Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients
University Physicians Healthcare Past Accepting new patients
The Regents of the University of California Family Medicine Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

4323 W Riverside Dr
Burbank, CA 91505
Phone (818) 556-2700

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 59755
Los Angeles, CA 90074

4560 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 656-1770

1260 15th St
Ste 1501
Santa Monica, CA 90404
Phone (310) 656-1700

2001 Santa Monica Blvd
Ste 380W
Santa Monica, CA 90404
Phone (310) 301-8732

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1033406574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8732",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 W RIVERSIDE DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054044",
            "telephone_number": "818-556-2700",
            "fax_number": "818-295-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERA",
        "first_name": "SAGIR",
        "middle_name": "GIRISH",
        "name_prefix": "Dr.",
        "credential": "D.O., M.P.H., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13747",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A13747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.