Individual provider Active NPI

Samantha Berg, M.D.

  • Obstetrics & Gynecology Physician
  • San Diego, CA
National Provider Identifier
1316494768
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A144829 Issued in CA
Practice address
9339 Genesee Ave Ste 220
San Diego, CA 92121-2121
Phone
(858) 455-7520
NPI assigned
Sep 1, 2016
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A144829 CA Primary

Addresses

Primary practice location

9339 Genesee Ave Ste 220
San Diego, CA 92121-2121

Mailing address

9339 Genesee Ave Ste 220
San Diego, CA 92121-2121

Other practice location 1

1200 N State St
Ipt C3F107
Los Angeles, CA 90033-1029
Phone (323) 409-8848

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211001192 CA Practitioner - Obstetrics/Gynecology 6002249794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Southern California Keck School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Igo Medical Group AMCGroup PAC ID 1153394317, 11 clinicians

Practice addresses (Care Compare)

9339 Genesee Ave
Suite 220
San Diego, CA 92121-2121
Phone 8584551248145

Merit-based Incentive Payment System (MIPS)

Final score
91.36 of 100Reported as group
Quality
97.77
Promoting interoperability
100
Improvement activities
40
Cost
73.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A144829CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Igo Medical Group AMC Obstetrics & Gynecology CurrentSince Sep 1, 2019 Accepting new patients
Ucsd Physicians Network - Specialty Care Obstetrics & Gynecology Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sberg318793@scrippshlth.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1316494768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9339 GENESEE AVE STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9339 GENESEE AVE STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212121",
            "telephone_number": "858-455-7520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St",
            "address_2": "IPT C3F107",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331029",
            "country_code": "US",
            "telephone_number": "323-409-8848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "SAMANTHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A144829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.