Jason Charles Bermak, M.D., PH.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A88723 Issued in CA

Practice address

200 Valley View Ave
San Rafael, CA 94901-1168

Phone

(949) 683-1123

Fax

(415) 651-9644

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1093844128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VALLEY VIEW AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011168",
            "telephone_number": "949-683-1123",
            "fax_number": "415-651-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALLEY VIEW AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011168",
            "telephone_number": "949-683-1123",
            "fax_number": "415-651-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAK",
        "first_name": "JASON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A88723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Kent Berger, DDS
• Marcia Naomi Berger
• Scott Casey Berger
• Joanne Berliner
• Maxwell Berlyant, PHD
• Lisa Renee Bermeo, LCSW
• Erica Mesitas Bermudo, PT
• Erik Ludwig Bernecker, PH.D.
• John H Bernhardt, RN, PHN
• Alexis Elizabeth Bernstein

• Psychiatry Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.