Individual provider Active NPI

Bernard J. Lichtenstein, M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1104878073
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A37396 Issued in CA
Practice address
8853 Spectrum Center Blvd Apt 7111
San Diego, CA 92123-1470
Phone
(619) 550-8862
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A37396 CA Primary

Addresses

Primary practice location

8853 Spectrum Center Blvd Apt 7111
San Diego, CA 92123-1470

Mailing address

1329 Garfield St
Calexico, CA 92231-4308
Phone (619) 361-0123

Other practice location 1

8853 Spectrum Center Blvd Apt 7111
San Diego, CA 92123-1470
Phone (619) 550-8862

Other practice location 2

4282 Genesee Ave Ste 303
San Diego, CA 92117-4962
Phone (619) 550-8862

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080331000240 CA Practitioner - Internal Medicine 1052363918 Reassigns benefits to 5 organizations
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Care Clinic ApcGroup PAC ID 6305335407, 8 clinicians
Clinicas del Valle a Professional CorpGroup PAC ID 9436557428, 3 clinicians

Practice addresses (Care Compare)

120 W Cole Blvd
Suite B
Calexico, CA 92231-9700
Phone (760) 890-0190

1211 N Vermont Ave
Suite 100
Los Angeles, CA 90029-1748
Phone (323) 928-2188

Hospital & facility affiliations

  • Solid Care Home Health, Inc Home health agency, Pasadena, CA, CCN 559240
  • All Weather Home Health Home health agency, Monterey Park, CA, CCN 757363
  • Shield Home Health Home health agency, San Diego, CA, CCN 059586
  • Trinity Home Health, Inc Home health agency, Sherman Oaks, CA, CCN 053173
  • Success Home Care Home health agency, Glendale, CA, CCN 757307
  • El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045
  • Pioneers Memorial Healthcare District Hospital, Brawley, CA, CCN 050342

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue58
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A37396CAMDInternal Medicine Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Clinica Internacional Buena Salud Inc Internal Medicine CurrentSince Aug 18, 2018 Accepting new patients
Clinicas del Valle a Professional Corp Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Desert Care Clinic Apc Internal Medicine CurrentSince Aug 10, 2025 Accepting new patients
Hollywood Energy Medicine Inc Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health PastSince Jul 25, 2018 Accepting new patients

Locations

4231 US Highway 86
Ste 6
Brawley, CA 92227
Phone (760) 790-0005

120 W Cole Blvd
Ste B
Calexico, CA 92231
Phone (323) 731-0681

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

1211 N Vermont Ave
Ste 100
Los Angeles, CA 90029
Phone (323) 663-0259

3802 National Ave
San Diego, CA 92113
Phone (619) 264-2591

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

4630 Border Village Rd
Ste H
San Ysidro, CA 92173

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bernard.lichtenstein@3194.securemail.prognocis.com
  • Direct secure messaging: bernard.lichtenstein@3928.securemail.prognocis.com
  • Direct secure messaging: blichtenstein80456@scrippshlth.medalliesdirect.net

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1104878073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 GARFIELD ST",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314308",
            "telephone_number": "619-361-0123",
            "fax_number": "877-929-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8853 SPECTRUM CENTER BLVD APT 7111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231470",
            "telephone_number": "619-550-8862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8853 Spectrum Center Blvd Apt 7111",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231470",
            "country_code": "US",
            "telephone_number": "619-550-8862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4282 GENESEE AVE STE 303",
            "address_purpose": "LOCATION",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174962",
            "country_code": "US",
            "telephone_number": "619-550-8862",
            "fax_number": "877-929-2504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHTENSTEIN",
        "first_name": "BERNARD",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A37396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.