Individual provider Active NPI

Scott Brian Berman, D.C.

  • Chiropractor
  • Thousand Oaks, CA
National Provider Identifier
1083952303
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15771 Issued in CA
Practice address
171 E Thousand Oaks Blvd Ste 105
Thousand Oaks, CA 91360-5741
Phone
(805) 379-9700
Fax
(805) 379-1991
NPI assigned
Jan 21, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15771 CA Primary

Addresses

Primary practice location

171 E Thousand Oaks Blvd Ste 105
Thousand Oaks, CA 91360-5741

Mailing address

171 E Thousand Oaks Blvd Ste 105
Thousand Oaks, CA 91360-5741
Phone (805) 379-9700

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salcido Chiropractic, Inc Chiropractor PastSince Oct 21, 2014 Accepting new patients

Organizations & group practices 1

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": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1083952303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 E THOUSAND OAKS BLVD STE 105",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605741",
            "telephone_number": "805-379-9700",
            "fax_number": "805-379-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 E THOUSAND OAKS BLVD STE 105",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605741",
            "telephone_number": "805-379-9700",
            "fax_number": "805-379-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "SCOTT",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.