Active NPI
Bergen Benedict
- Occupational Therapist
- Vista, CA
National Provider Identifier
1093571978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 26105
- Practice address
- 911 Hacienda Dr Ste B
Vista, CA 92081-6503 - Phone
- (760) 216-6942
- NPI assigned
- Feb 27, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 26105 | CA | Primary |
Addresses
Primary practice location
911 Hacienda Dr Ste B
Vista, CA 92081-6503
Mailing address
911 Hacienda Dr Ste B
Vista, CA 92081-6503
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 |
|---|---|---|---|
| 26105 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Steps Pediatric Therapy, P.C. | Occupational Therapist | Current | Accepting new patients |
Locations
911 Hacienda Dr
Ste B
Vista, CA 92081
Phone (760) 216-6942
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.
-
- Speech-Language Pathologist
- Vista, CA
- NPI 1508323403
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1093571978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 HACIENDA DR STE B",
"city": "VISTA",
"state": "CA",
"postal_code": "920816503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 HACIENDA DR STE B",
"city": "VISTA",
"state": "CA",
"postal_code": "920816503",
"telephone_number": "760-216-6942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "BERGEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "26105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.