Active NPI
Stephen Nealon Berberich, MD. FACC
- Cardiovascular Disease Physician
- Downey, CA
National Provider Identifier
1053844043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G26543
- Practice address
- 1544 Downey Ave
Downey, CA 90241 - Phone
- (562) 592-1601
- NPI assigned
- Apr 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G26543 | CA | Primary |
Addresses
Primary practice location
1544 Downey Ave
Downey, CA 90241
Mailing address
1544 Downey Ave.
Downey Cardiomedical
Downey, CA 90241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G26543 | CA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1053844043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1544 DOWNEY AVE.",
"address_2": "DOWNEY CARDIOMEDICAL",
"city": "DOWNEY",
"state": "CA",
"postal_code": "90241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 DOWNEY AVE",
"city": "DOWNEY",
"state": "CA",
"postal_code": "90241",
"telephone_number": "562-592-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERBERICH",
"first_name": "STEPHEN",
"middle_name": "NEALON",
"name_prefix": "Dr.",
"credential": "MD. FACC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G26543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.