Individual provider Active NPI

Michael S Berlin, MD

  • Ophthalmology Physician
  • West Hollywood, CA
National Provider Identifier
1528048584
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G31961A Issued in CA
Practice address
8733 Beverly Blvd
Suite 301
West Hollywood, CA 90048-1800
Phone
(310) 855-1112
Fax
(310) 855-1211
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G31961A CA Primary

Addresses

Primary practice location

8733 Beverly Blvd
Suite 301
West Hollywood, CA 90048-1800

Mailing address

8733 Beverly Blvd
Suite 301
West Hollywood, CA 90048-1800
Phone (310) 855-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000563 CA Practitioner - Ophthalmology 7416844279 Practice locations: West Hollywood, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31961CAMDGeneral Practice Dentistry
G31961ACAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Institute of Beverly Hills Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1528048584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "address_2": "SUITE 301",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481800",
            "telephone_number": "310-855-1112",
            "fax_number": "310-855-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "address_2": "SUITE 301",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481800",
            "telephone_number": "310-855-1112",
            "fax_number": "310-855-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G31961A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.