Ryan Berg, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33554 Issued in CA

Practice address

814 Morena Blvd Ste 306
San Diego, CA 92110-2626

Phone

(619) 500-7787

NPI assigned

Aug 29, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stand Up ChiropracticGroup PAC ID 1951733013, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stand Up Chiropractic

  • Chiropractor
  • San Diego, CA
  • NPI 1912461336
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1295217941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 MORENA BLVD STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102626",
            "telephone_number": "619-500-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 MORENA BLVD STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102626",
            "telephone_number": "619-500-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Berg, MD
• Jason Anthony Blain Berg
• Jennifer Ashley Berg
• Jessica Danielle Berg, LVN
• Richard Christopher Berg, ATC
• Samantha Berg, M.D.
• Tamar M Berg, NP
• Teresa Berg, PT, DPT
• Tessa Berg
• Andrea L Bergeleen

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.