Active NPI
Anthony Bernardo, NP, FNP-C, AGNP-C
- Family Nurse Practitioner
- Lakewood, CA
National Provider Identifier
1134036635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95040835
- Practice address
- 6430 South St
Lakewood, CA 90713-1713 - Phone
- (562) 731-3990
- NPI assigned
- Aug 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95040835 | CA | |
| Gerontology Nurse Practitioner | 363LG0600X | 95040835 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95040835 | CA | Primary |
Addresses
Primary practice location
6430 South St
Lakewood, CA 90713-1713
Mailing address
442 W Ocean Blvd Apt 214
Long Beach, CA 90802-4398
Phone (310) 483-1513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1134036635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 W OCEAN BLVD APT 214",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024398",
"telephone_number": "310-483-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6430 SOUTH ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131713",
"telephone_number": "562-731-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARDO",
"first_name": "ANTHONY",
"credential": "NP, FNP-C, AGNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95040835",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "95040835",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95040835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.