NPIMap

Organization Active NPI

Foothill Emergency Physicians

  • Emergency Medicine Physician
  • Glendale, CA
National Provider Identifier
1396875712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
FOOTHILL EMERGENCY PHYSICIANS
Practice address
1812 Verdugo Blvd
Verdugo Hills Hospital ER
Glendale, CA 91208-1409
Phone
(818) 952-2222
NPI assigned
Mar 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leo Eldon Berkenbile, MDNPI 1518090760
Title
ER Director
Phone
(818) 957-9595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

1812 Verdugo Blvd
Verdugo Hills Hospital ER
Glendale, CA 91208-1409

Mailing address

3800 La Crescenta Ave
#207
La Crescenta, CA 91214-3948
Phone (818) 957-9595

Other identifiers 1

IdentifierTypeStateIssuer
GR0024000MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396875712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 LA CRESCENTA AVE",
            "address_2": "#207",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143948",
            "telephone_number": "818-957-9595",
            "fax_number": "818-957-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 VERDUGO BLVD",
            "address_2": "VERDUGO HILLS HOSPITAL ER",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081409",
            "telephone_number": "818-952-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERKENBILE",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "ELDON",
        "authorized_official_title_or_position": "ER DIRECTOR",
        "authorized_official_telephone_number": "818-957-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0024000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.