Active NPI
Paul Berman, M.D.
- Orthopaedic Surgery Physician
- Santa Cruz, CA
National Provider Identifier
1154301836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G12381
- Practice address
- 1080 Emeline Ave
Clinic Admin
Santa Cruz, CA 95060-1966 - Phone
- (831) 454-4100
- Fax
- (831) 454-4296
- NPI assigned
- Jan 19, 2006
- Last updated
- Feb 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G12381 | CA | Primary |
Addresses
Primary practice location
1080 Emeline Ave
Clinic Admin
Santa Cruz, CA 95060-1966
Mailing address
1080 Emeline Ave
Clinic Admin
Santa Cruz, CA 95060-1966
Phone (831) 454-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G12381 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redington-Fairview General Hospital | Past | Accepting new patients | |
| Redington Medical Associates | Orthopaedic Surgery | Past | Accepting new patients |
| Santa Cruz Medical Clinic, Inc | Past | Accepting new patients | |
| Redington-Fairview General Hospital | Past | Accepting new patients | |
| Puentes Al Sur | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1154301836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 EMELINE AVE",
"address_2": "CLINIC ADMIN",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950601966",
"telephone_number": "831-454-4100",
"fax_number": "831-454-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 EMELINE AVE",
"address_2": "CLINIC ADMIN",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950601966",
"telephone_number": "831-454-4100",
"fax_number": "831-454-4296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G12381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.