Individual provider Active NPI

William Ezial Berger, M.D.

  • Allergy Physician
  • Mission Viejo, CA
National Provider Identifier
1538260583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
C35918 Issued in CA
Practice address
27800 Medical Center Rd
Suite 244
Mission Viejo, CA 92691-6410
Phone
(949) 364-2900
Fax
(949) 365-0117
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X C35918 CA Primary

Addresses

Primary practice location

27800 Medical Center Rd
Suite 244
Mission Viejo, CA 92691-6410

Mailing address

27800 Medical Center Rd
Suite 244
Mission Viejo, CA 92691-6410
Phone (949) 364-2900

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
I20081219000303 CA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 2668534918 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C35918CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Gastroenterology Associates Current Accepting new patients
Allergy & Asthma Associates of Southern Calif Inc Allergy CurrentSince Jan 1, 1973 Accepting new patients
Oso Specialty Infusion, Inc. CurrentSince Aug 28, 2018 Accepting new patients

Locations

15785 Laguna Canyon Rd
Ste 100
Irvine, CA 92618
Phone (949) 364-2900

17175 Gillette Ave
Ste B
Irvine, CA 92614
Phone 94966071262100

27800 Medical Center Rd
Ste 244
Mission Viejo, CA 92691
Phone (949) 364-2900

18433 Roscoe Blvd
Ste 214
Northridge, CA 91325
Phone (818) 623-4455

76 Alabama St
Redlands, CA 92373

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70102

Organizations & group practices 3

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538260583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD",
            "address_2": "SUITE 244",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916410",
            "telephone_number": "949-364-2900",
            "fax_number": "949-365-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD",
            "address_2": "SUITE 244",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916410",
            "telephone_number": "949-364-2900",
            "fax_number": "949-365-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "WILLIAM",
        "middle_name": "EZIAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "C35918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.