Active NPI
Head and Neck Surgery Specialists, a Professional Corporation
- Otolaryngology Physician
- Chula Vista, CA
National Provider Identifier
1124545074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- HEAD AND NECK SURGERY SPECIALISTS, A PROFESSIONAL CORPORATION
- Practice address
- 321 E St
Chula Vista, CA 91910-2667 - Phone
- (619) 934-3260
- Fax
- (619) 934-3268
- NPI assigned
- Aug 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brett J. Berman, M.D.
- Title
- President
- Phone
- (619) 934-3260
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
321 E St
Chula Vista, CA 91910-2667
Mailing address
321 E St
Chula Vista, CA 91910-2667
Phone (619) 934-3260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
321 E St
Chula Vista, CA 91910
Phone (619) 422-0404
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Chula Vista, CA
- NPI 1881190767
-
- Otolaryngology Physician
- Chula Vista, CA
- NPI 1467720656
-
- Otolaryngology Physician
- La Jolla, CA
- NPI 1730382318
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1225395734
-
- Otolaryngology Physician
- Chula Vista, CA
- NPI 1982792578
-
- Cardiovascular Disease Physician
- Chula Vista, CA
- NPI 1457446684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1124545074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 E ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919102667",
"telephone_number": "619-934-3260",
"fax_number": "619-934-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 E ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919102667",
"telephone_number": "619-934-3260",
"fax_number": "619-934-3268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAD AND NECK SURGERY SPECIALISTS, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-22",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BERMAN",
"authorized_official_first_name": "BRETT",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-934-3260",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.