Active NPI
Robert Martin Bernstein, CCP
- Perfusionist
- Palo Alto, CA
National Provider Identifier
1346460433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- 800208
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 800208 | CA | MD | Perfusionist |
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.