Janeece A Berry, RNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

375301 Issued in CA

Practice address

Beverly Care
1920 W. Whittier Blvd
Montebello, CA 90640

Phone

(323) 725-1519

NPI assigned

Aug 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1104175611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 PARK SQUARE WAY",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-331-7617",
            "fax_number": "909-447-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEVERLY CARE",
            "address_2": "1920 W. WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-725-1519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 n mountain ave suite 110",
            "address_purpose": "LOCATION",
            "city": "upland",
            "state": "CA",
            "postal_code": "91786",
            "country_code": "US",
            "telephone_number": "909-981-9991",
            "fax_number": "909-981-1325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JANEECE",
        "middle_name": "A",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "8348",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "375301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING",
            "identifier": "8348",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bertha a Gonzalez DO, Inc
• Delia Betancourt Manale, COTA
• Beverly Ambulatory Med-Surg Center, PC
• Beverly Care Medical Group, Inc
• Beverly Community Hospital Association

• Women's Health Nurse Practitioner in Montebello, CA
• Providers in Montebello, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.