Active NPI
Esmeralda Virginia Berry
- Physical Therapy Assistant
- Lancaster, CA
National Provider Identifier
1093006280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4671
- Practice address
- 48303 20TH St W
Spacew 166
Lancaster, CA 93534-7424 - Phone
- (800) 787-6787
- NPI assigned
- Apr 22, 2011
- Last updated
- Apr 22, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4671 | CA | Primary |
Addresses
Primary practice location
48303 20TH St W
Spacew 166
Lancaster, CA 93534-7424
Mailing address
48303 20TH St W
Space 166
Lancaster, CA 93534-7424
Phone (661) 468-0071
Other names 1
- Ms. Esmeralda Virginia Berry
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1093006280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48303 20TH ST W",
"address_2": "SPACE 166",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935347424",
"telephone_number": "661-468-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48303 20TH ST W",
"address_2": "SPACEW 166",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935347424",
"telephone_number": "800-787-6787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "ESMERALDA",
"middle_name": "VIRGINIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-22",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "4671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ESMERALDA",
"last_name": "BERRY",
"middle_name": "VIRGINIA",
"prefix": "MS.",
"credential": "P.T.A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.