Active NPI
Joyce Barbara Berenson, R.D., C.D.E.
- Registered Dietitian
- Temecula, CA
National Provider Identifier
1487701603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 832911
- Practice address
- 45740 Palmetto Way
Temecula, CA 92592-6059 - Phone
- (951) 676-0285
- Fax
- (951) 676-3225
- NPI assigned
- Jan 3, 2007
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 832911 | CA | Primary |
Addresses
Primary practice location
45740 Palmetto Way
Temecula, CA 92592-6059
Mailing address
45740 Palmetto Way
Temecula, CA 92592
Phone (951) 676-0285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040301000711 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 8426945973 | Practice locations: Temecula, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
45740 Palmetto Way
Temecula, CA 92592-6059
Phone (951) 676-0285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 832911 | CA | MD | Registered Dietitian |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499299200000",
"number": "1487701603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45740 PALMETTO WAY",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92592",
"telephone_number": "951-676-0285",
"fax_number": "844-249-5571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45740 PALMETTO WAY",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925926059",
"telephone_number": "951-676-0285",
"fax_number": "951-676-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERENSON",
"first_name": "JOYCE",
"middle_name": "BARBARA",
"credential": "R.D., C.D.E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2017-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "832911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.