Active NPI
Gary S Bernard DO Inc
- Specialist
- Indio, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20A8186
- Legal business name
- GARY S BERNARD DO INC
- Practice address
- 81767 Dr Carreon Blvd
Suite 102
Indio, CA 92201 - Phone
- (760) 347-6004
- Fax
- (760) 347-6775
- NPI assigned
- Apr 28, 2008
- 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
- Mr. Gary S Bernard, D.O.
- Title
- Owner/Physician
- Phone
- (760) 347-6004
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 20A8186 | CA | Primary |
Addresses
Primary practice location
81767 Dr Carreon Blvd
Suite 102
Indio, CA 92201
Mailing address
81767 Dr Carreon Blvd
Suite 102
Indio, CA 92201
Phone (760) 347-6004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX81860 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
79200 Corporate Center Dr
Ste 101
La Quinta, CA 92253
Phone (760) 656-6100
79200 Corporate Center Dr
Ste C4
La Quinta, CA 92253
Phone (760) 564-0885
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Yuba City, CA
- NPI 1558360032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209340800000",
"number": "1144495458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81767 DR CARREON BLVD",
"address_2": "SUITE 102",
"city": "INDIO",
"state": "CA",
"postal_code": "92201",
"telephone_number": "760-347-6004",
"fax_number": "760-347-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81767 DR CARREON BLVD",
"address_2": "SUITE 102",
"city": "INDIO",
"state": "CA",
"postal_code": "92201",
"telephone_number": "760-347-6004",
"fax_number": "760-347-6775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY S BERNARD DO INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-28",
"last_updated": "2008-04-28",
"status": "A",
"authorized_official_last_name": "BERNARD",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "760-347-6004",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "20A8186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX81860",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.