Active NPI
Lynn Berman Herring, MD
- Pediatrics Physician
- Poway, CA
National Provider Identifier
1467426049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G86523
- Practice address
- 15725 Pomerado Rd
Suite 203
Poway, CA 92064-2068 - Phone
- (858) 673-3340
- Fax
- (858) 673-1075
- NPI assigned
- Feb 13, 2006
- Last updated
- Apr 7, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G86523 | CA | Primary |
Addresses
Primary practice location
15725 Pomerado Rd
Suite 203
Poway, CA 92064-2068
Mailing address
3860 Calle Fortunada
Suite 200
San Diego, CA 92123
Phone (858) 636-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G86523 | Other | CA | MD LICENSE |
Other names 1
- Lynn Michele Berman
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G86523 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Primary Care Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- San Diego, CA
- NPI 1184788291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1467426049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 CALLE FORTUNADA",
"address_2": "SUITE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123",
"telephone_number": "858-636-4300",
"fax_number": "858-636-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15725 POMERADO RD",
"address_2": "SUITE 203",
"city": "POWAY",
"state": "CA",
"postal_code": "920642068",
"telephone_number": "858-673-3340",
"fax_number": "858-673-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRING",
"first_name": "LYNN",
"middle_name": "BERMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G86523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "G86523",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "BERMAN",
"middle_name": "MICHELE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.