Individual provider Active NPI

Ali R Berenji, M.D.

  • Specialist
  • Oxnard, CA
National Provider Identifier
1417077470
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A043067 Issued in CA
Practice address
500 E Esplanade Dr Ste 815
Oxnard, CA 93036-0540
Phone
(805) 983-7578
Fax
(805) 981-8356
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A043067 CA Primary

Addresses

Primary practice location

500 E Esplanade Dr Ste 815
Oxnard, CA 93036-0540

Mailing address

PO Box 6126
Oxnard, CA 93031-6126
Phone (805) 983-7578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A043067CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417077470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6126",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930316126",
            "telephone_number": "805-983-7578",
            "fax_number": "805-981-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ESPLANADE DR STE 815",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360540",
            "telephone_number": "805-983-7578",
            "fax_number": "805-981-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENJI",
        "first_name": "ALI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A043067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.