Individual provider Active NPI

Robert Martin Bernstein, CCP

  • Perfusionist
  • Palo Alto, CA
National Provider Identifier
1346460433
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
License
800208 Issued in CA
Practice address
3833 Park Blvd
Apt #1
Palo Alto, CA 94306-3490
Phone
(650) 815-8909
Fax
(650) 615-9995
NPI assigned
Apr 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X 800208 CA Primary

Addresses

Primary practice location

3833 Park Blvd
Apt #1
Palo Alto, CA 94306-3490

Mailing address

3833 Park Blvd
Apt #1
Palo Alto, CA 94306-3490
Phone (650) 815-8909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
800208CAMDPerfusionist

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346460433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 PARK BLVD",
            "address_2": "APT #1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063490",
            "telephone_number": "650-815-8909",
            "fax_number": "650-615-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 PARK BLVD",
            "address_2": "APT #1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063490",
            "telephone_number": "650-815-8909",
            "fax_number": "650-615-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "ROBERT",
        "middle_name": "MARTIN",
        "credential": "CCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "CA",
            "license": "800208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.