Individual provider Active NPI

Leila D Berg, PA-C

  • Medical Physician Assistant
  • Reno, NV
National Provider Identifier
1093147472
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA23108 Issued in CA
Practice address
321 S Arlington Ave
Reno, NV 89501-2001
Phone
(775) 235-8464
Fax
(775) 260-2247
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA23108 CA Primary
Physician Assistant 363A00000X 23108 CA
Medical Physician Assistant 363AM0700X PA1672 NV
Physician Assistant 363A00000X PA1672 NV

Addresses

Primary practice location

321 S Arlington Ave
Reno, NV 89501-2001

Mailing address

321 S Arlington Ave
Reno, NV 89501-2001
Phone (775) 235-8464

Other identifiers 1

IdentifierTypeStateIssuer
V52366OtherNVMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170912000127 NV Practitioner - Physician Assistant 1557634680 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yvette Kaunismaki MD PCGroup PAC ID 1355627597, 11 clinicians

Practice addresses (Care Compare)

10405 Double R Blvd
Reno, NV 89521-8905
Phone (775) 827-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA23108CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DMC Medical Clinic LTD PastSince Mar 11, 2025 Accepting new patients
North Vista Hospital LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leila.berg@87389088186372.direct.elationemr.com

Organizations & group practices 7

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": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1093147472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S ARLINGTON AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895012001",
            "telephone_number": "775-235-8464",
            "fax_number": "775-260-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S ARLINGTON AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895012001",
            "telephone_number": "775-235-8464",
            "fax_number": "775-260-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "LEILA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA23108",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "23108",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1672",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "V52366",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.