Individual provider Active NPI

Robert Anton Berkovitz, D.C.

  • Chiropractor
  • Ventura, CA
National Provider Identifier
1467552000
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
21240 Issued in CA
Practice address
1118 S Seaward Ave
Ventura, CA 93001-3849
Phone
(805) 643-8000
Fax
(805) 643-6577
NPI assigned
Sep 24, 2006
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 21240 CA Primary

Addresses

Primary practice location

1118 S Seaward Ave
Ventura, CA 93001-3849

Mailing address

1118 S Seaward Ave
Ventura, CA 93001-3849
Phone (805) 643-8000

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

LicenseStateTypeSpecialty
21240CAMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1467552000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 S SEAWARD AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013849",
            "telephone_number": "805-643-8000",
            "fax_number": "805-643-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 S SEAWARD AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013849",
            "telephone_number": "805-643-8000",
            "fax_number": "805-643-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOVITZ",
        "first_name": "ROBERT",
        "middle_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.