Jill R. Berlin, DPM Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3871 Issued in CA

Legal business name

JILL R. BERLIN, DPM INC

Practice address

26912 Carranza Dr
Mission Viejo, CA 92691-5002

Phone

(949) 581-2944

Fax

(949) 768-2647

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jill Robin Berlin, DPM

Title

Ceo,President

Phone

(949) 581-2944

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1104033901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926090146",
            "telephone_number": "949-581-2944",
            "fax_number": "949-768-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26912 CARRANZA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915002",
            "telephone_number": "949-581-2944",
            "fax_number": "949-768-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL R. BERLIN, DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "CEO,PRESIDENT",
        "authorized_official_telephone_number": "949-581-2944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.