Individual provider Active NPI

Michelle Bergal

  • Emergency Medicine Physician
  • Chester, PA
National Provider Identifier
1427677137
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A20525 Issued in CA
Practice address
1 Medical Center Blvd
Chester, PA 19013-3902
Phone
(310) 500-0417
NPI assigned
Apr 13, 2020
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A20525 CA Primary

Addresses

Primary practice location

1 Medical Center Blvd
Chester, PA 19013-3902

Mailing address

28744 Haskell Canyon Rd
Santa Clarita, CA 91390-5224
Phone (310) 500-0417

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231017003554 CA Practitioner - Emergency Medicine 3678928264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Coast Emergency Medical Group IncGroup PAC ID 1355254269, 33 clinicians

Practice addresses (Care Compare)

2050 Viborg Rd
Solvang, CA 93463-2220
Phone (805) 688-6431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as group
Quality
98.36
Promoting interoperability
100
Improvement activities
40
Cost
75.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Emergency Medical Group Inc Emergency Medicine CurrentSince Jul 26, 2023 Accepting new patients

Locations

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 569-7294

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1427677137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28744 HASKELL CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905224",
            "telephone_number": "310-500-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "310-500-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGAL",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A20525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.