Active NPI
Steven Christopher Bereta, NP
- Nurse Practitioner
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 22463
- Practice address
- 101 The City Dr S
Orange, CA 92868-3201 - Phone
- (714) 880-7812
- NPI assigned
- Aug 11, 2014
- Last updated
- Nov 20, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 22463 | CA | Primary |
Addresses
Primary practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986
Other practice location 1
2141 N Harbor Blvd Ste 25000
Fullerton, CA 92835-3830
Phone (714) 626-8650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB221186 | Other | MEDICARE PTAN |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Irvine California College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-6054
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22463 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uci Department of Urology | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
2141 N Harbor Blvd
Ste 25000
Fullerton, CA 92835
Phone (714) 626-8610
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
Organizations & group practices 6
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.
-
- Urology Physician
- Orange, CA
- NPI 1255398533
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Mission Viejo, CA
- NPI 1427305960
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
dba UCI Infusion Center
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1205245560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S MANCHESTER AVE STE 300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683219",
"telephone_number": "714-456-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-880-7812"
}
],
"practiceLocations": [
{
"address_1": "2141 N Harbor Blvd Ste 25000",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928353830",
"country_code": "US",
"telephone_number": "714-626-8650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERETA",
"first_name": "STEVEN",
"middle_name": "CHRISTOPHER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-11",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "22463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CB221186",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.