Keara Loraine Bergin

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60729 Issued in CA

Practice address

3501 Jamboree Rd Ste 1100
Newport Beach, CA 92660-2956

Phone

(949) 222-1290

Fax

(949) 222-1289

NPI assigned

Dec 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CCRM Newport Beach

  • Reproductive Endocrinology Physician
  • Newport Beach, CA
  • NPI 1053018267
  NPD (past)
• Mark T Kan, Inc

  • Reproductive Endocrinology Physician
  • Newport Beach, CA
  • NPI 1538455860
  NPD (past)

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1548929862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602956",
            "telephone_number": "949-222-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602956",
            "telephone_number": "949-222-1290",
            "fax_number": "949-222-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGIN",
        "first_name": "KEARA",
        "middle_name": "LORAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Benvenuti, MD
• Thomas G Benvenuti, MD
• Amanda Rose Benvenuto, MSN PMHNP-BC
• Victor Raphael Beretta, MD
• Helen Bergenfeld, M.F.T.
• Berkus Psychiatric Consulting,Apc
• Vicki Lynn Berkus, M.D.,PH.D,CEDS
• James Berman, M.D
• Miriam Bermudez
• Williams Bernardo

• Physician Assistant in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.