Marc Anthony Bernardo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104048 Issued in CA

Practice address

1200 E Washington St Ste F2
Colton, CA 92324-6499

Phone

(909) 422-0885

NPI assigned

Jul 16, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marc Anthony Alvarez Bernardo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Alvarez & Bernardo Dental Corporation

  • General Practice Dentistry
  • Colton, CA
  • NPI 1518326602
  NPD (past)
• Alvarez & Bernardo Dental Corporation

  • General Practice Dentistry
  • Colton, CA
  • NPI 1629576608
  NPD (past)

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1467004762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925560668",
            "telephone_number": "951-242-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E WASHINGTON ST STE F2",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246499",
            "telephone_number": "909-422-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARC",
            "last_name": "BERNARDO",
            "middle_name": "ANTHONY ALVAREZ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lauren Alexandria Bennallack, DO
• Ok Bensley
• Jordan Lee Bentley, SRNA
• Dan'L Benton
• Darren L Bergey, M.D.
• Christine Beth Bernier, P.A-C
• Shawhin Daniel Beroukhim
• Raevenn Berry
• Maribel Berumen
• Beverly Hanes, LMFT Apc

• General Practice Dentistry in Colton, CA
• Providers in Colton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.