Ann K Berdugo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004605 Issued in CA

Practice address

1828 E Cesar E Chavez Ave Ste 5000
Los Angeles, CA 90033-2487

Phone

(323) 987-1200

Fax

(323) 987-1212

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JECHBA

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.

• Arroyo Vista Family Health Foundation

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1447353701
  Medicare reassignment NPD
• White Memorial Community Health Center

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1083003321
  Medicare reassignment NPD
• Sharwin Tafazoli Inc

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
  • NPI 1447806278

  CA

  Medicare reassignment NPD
• White Memorial Community Health Center

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1649090150
  NPD

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1336694512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 E CESAR E CHAVEZ AVE STE 5000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332487",
            "telephone_number": "323-987-1200",
            "fax_number": "323-987-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E CESAR E CHAVEZ AVE STE 5000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332487",
            "telephone_number": "323-987-1200",
            "fax_number": "323-987-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDUGO",
        "first_name": "ANN",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athena Berdis
• Peiman Berdjis, M.D.
• Andrew Cabal Berdos, PT
• Vasilios Berdoukas, MD
• Veena Chloe Berducido, M.A.
• Joselin Berdugo, REGISTERED DIETITIAN
• Raymond Angelo Berdugo, M.D.
• Leonora Beredo
• Arash Bereliani, M.D.
• Joshua Beren, AMFT

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.