Active NPI
Justin Bergh, DO
- Obstetrics & Gynecology Physician
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20A22196
- Practice address
- 2130 Citracado Pkwy Ste 320
Escondido, CA 92029-4151 - Phone
- (858) 485-0130
- NPI assigned
- Apr 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036160174 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | 20A22196 | CA | Primary |
Addresses
Primary practice location
2130 Citracado Pkwy Ste 320
Escondido, CA 92029-4151
Mailing address
2130 Citracado Pkwy Ste 320
Escondido, CA 92029-4151
Phone (858) 485-0130
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231206002057 | CA | Practitioner - Obstetrics/Gynecology | 6406230622 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Arch Health Partners Inc
Practice addresses (Care Compare)
2130 Citracado Pkwy
Escondido, CA 92029-4149
Phone (858) 673-2450
Hospital & facility affiliations
- Palomar Health Downtown Campus
- Palomar Medical Center Poway
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A22196 | CA | MD | Obstetrics & Gynecology Physician |
| 22196 | CA | MD | Physical Therapist |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Health Partners, Inc | Current | Accepting new patients | |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| St Alexius Medical Center | Past | Accepting new patients | |
| Presence Chicago Hospitals Network | Past | Accepting new patients | |
| Presence Chicago Hospitals Network | Past | Accepting new patients | |
| Samir E. Hage, D.O., Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
2130 Citracado Pkwy
Escondido, CA 92029
Phone (858) 485-1111
2130 Citracado Pkwy
Ste 320
Escondido, CA 92029
Phone (858) 485-0130
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- justin.bergh.1@380.direct.athenahealth.com
- jbergh235325@sharphealthcare.direct-ci.com
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1215258892
CA, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Redlands, CA
- NPI 1811184179
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1033210166
-
- Rehabilitation Hospital Unit
- Chicago, IL
- NPI 1396832622
-
- Prosthetic/Orthotic Supplier
- Minot, ND
- NPI 1770637936
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1336646751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 CITRACADO PKWY STE 320",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294151",
"telephone_number": "858-485-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 CITRACADO PKWY STE 320",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294151",
"telephone_number": "858-485-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGH",
"first_name": "JUSTIN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036160174",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "20A22196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.