Individual provider Active NPI

Mitchell Alan Berner, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
National Provider Identifier
1073745733
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A120451 Issued in CA
Practice address
155 N San Vicente Blvd
Beverly Hills, CA 90211-2303
Phone
(323) 433-7800
Fax
(323) 433-7801
NPI assigned
Aug 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A120451 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X CT

Addresses

Primary practice location

155 N San Vicente Blvd
Beverly Hills, CA 90211-2303

Mailing address

6900 E Camelback Rd Ste 700
Scottsdale, AZ 85251-2400
Phone (480) 478-8400

Other practice location 1

26885 Pueblonuevo Dr
Mission Viejo, CA 92691-4409
Phone (203) 384-3170

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
I20120905000703 CA Practitioner - Diagnostic Radiology 0143477679 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard Simon MD PLLCGroup PAC ID 7214369966, 61 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

1036 Breakaway Dr
Oceanside, CA 92057-1912
Phone (480) 306-6949

15775 Laguna Canyon Rd
Suite 140
Irvine, CA 92618-3190
Phone (949) 522-8120

16 Mountain Laurel
Trabuco Canyon, CA 92679-4217
Phone (480) 306-6949

24 Pacific GRV
Irvine, CA 92602-1017
Phone (480) 306-6949

635 Camino de Los Mares
Suite 101
San Clemente, CA 92673-2801
Phone (949) 506-5316

8370 Wilshire Blvd
110 Simonmed Imaging Beverly Hills Stand Up
Beverly Hills, CA 90211-2334
Phone (323) 966-0000

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
68.83 of 100Reported as group
Quality
63.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A120451CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jun 15, 2020 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Dec 11, 2017 Accepting new patients
Memorialcare Medical Foundation CurrentSince Sep 15, 2015 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince May 10, 2021 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 11, 2017 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jun 15, 2020 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients
Wave Imaging LLC PastSince Oct 12, 2015 Accepting new patients

Locations (25 of 45)

3570 S Val Vista Dr
Ste 101
Gilbert, AZ 85297
Phone (480) 534-8835

5410 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 424-0935

44555 W Edison Rd
Maricopa, AZ 85138
Phone (520) 666-7960

9403 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 234-8700

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

2830 N 3rd St
Phoenix, AZ 85004
Phone (602) 200-1750

4219 E Bell Rd
Phoenix, AZ 85032
Phone (480) 584-5525

6707 N 19th Ave
Ste 108
Phoenix, AZ 85015
Phone (602) 242-4177

790 Gail Gardner Way
Prescott, AZ 86305
Phone (928) 776-9900

3033 N Windsong Dr
Ste 102
Prescott Vly, AZ 86314
Phone (928) 772-5250

36297 N Gantzel Rd
Ste 101
Queen Creek, AZ 85140
Phone (480) 809-4400

9201 E Mountain View Rd
Ste 137
Scottsdale, AZ 85258
Phone (480) 614-8555

9201 E Mountain View Rd
Ste 112
Scottsdale, AZ 85258
Phone (480) 584-6800

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

9134 W Olympic Blvd
Beverly Hills, CA 90212
Phone (310) 432-1000

155 N San Vicente Blvd
Beverly Hills, CA 90211
Phone (323) 433-7800

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

499 N El Camino Real
Ste C100
Encinitas, CA 92024
Phone (760) 334-4065

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120

24022 Calle de la Plata
Ste 100
Laguna Hills, CA 92653
Phone (949) 330-8996

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1073745733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 E CAMELBACK RD STE 700",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512400",
            "telephone_number": "480-478-8400",
            "fax_number": "480-306-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N SAN VICENTE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112303",
            "telephone_number": "323-433-7800",
            "fax_number": "323-433-7801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26885 Pueblonuevo Dr",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926914409",
            "country_code": "US",
            "telephone_number": "203-384-3170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNER",
        "first_name": "MITCHELL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A120451",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.