Active NPI
Stephanie Fallon Berg, ND
- Naturopath
- Sherman Oaks, CA
National Provider Identifier
1447892385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND1093
- Practice address
- 4835 Van Nuys Blvd Ste 200
Sherman Oaks, CA 91403-2139 - Phone
- (818) 862-9010
- NPI assigned
- Oct 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND1093 | CA | Primary |
Addresses
Primary practice location
4835 Van Nuys Blvd Ste 200
Sherman Oaks, CA 91403-2139
Mailing address
2091 Mandeville Canyon Rd
Los Angeles, CA 90049-2226
Phone (310) 486-0656
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 |
|---|---|---|---|
| ND1093 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1447892385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2091 MANDEVILLE CANYON RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900492226",
"telephone_number": "310-486-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4835 VAN NUYS BLVD STE 200",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032139",
"telephone_number": "818-862-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "STEPHANIE",
"middle_name": "FALLON",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-11",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND1093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.