Organization Active NPI

Bert B. Schoenkerman, M.D., a Professional Medical Corporation

  • Obstetrics & Gynecology Physician
  • Westlake Village, CA
National Provider Identifier
1215246889
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G21861 Issued in CA
Legal business name
BERT B. SCHOENKERMAN, M.D., A PROFESSIONAL MEDICAL CORPORATION
Practice address
1671 Larkfield Ave
Westlake Village, CA 91362-4244
Phone
(805) 807-1900
Fax
(805) 379-3990
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bert B Schoenkerman, M.D.NPI 1245300268
Title
Medical Director
Phone
(805) 807-1900

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G21861 CA Primary

Addresses

Primary practice location

1671 Larkfield Ave
Westlake Village, CA 91362-4244

Mailing address

1671 Larkfield Ave
Westlake Village, CA 91362-4244
Phone (805) 807-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101221000204 CA Part B Supplier - Clinic/Group Practice 2860680642 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake Village, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1215246889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 LARKFIELD AVE",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624244",
            "telephone_number": "805-807-1900",
            "fax_number": "805-379-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 LARKFIELD AVE",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624244",
            "telephone_number": "805-807-1900",
            "fax_number": "805-379-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERT B. SCHOENKERMAN, M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "SCHOENKERMAN",
        "authorized_official_first_name": "BERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-807-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G21861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.

Verify at the official NPI Registry.