Active NPI
Leonard S Bernstein M D Inc
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1578883971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LEONARD S BERNSTEIN M D INC
- Practice address
- 501 Washington St
#508
San Diego, CA 92103-2231 - Phone
- (619) 299-2570
- Fax
- (619) 819-7258
- NPI assigned
- Jun 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leonard S Bernstein, MD
- Title
- President
- Phone
- (619) 299-2570
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
501 Washington St
#508
San Diego, CA 92103-2231
Mailing address
501 Washington St
#508
San Diego, CA 92103-2231
Phone (619) 299-2570
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G16410 | Medicaid | CA | |
| DG193A | Other | CA | PTAN |
| G16410 | Other | CA | LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298332800000",
"number": "1578883971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 WASHINGTON ST",
"address_2": "#508",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032231",
"telephone_number": "619-299-2570",
"fax_number": "619-819-7258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WASHINGTON ST",
"address_2": "#508",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032231",
"telephone_number": "619-299-2570",
"fax_number": "619-819-7258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEONARD S BERNSTEIN M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-08",
"last_updated": "2011-02-22",
"status": "A",
"authorized_official_last_name": "BERNSTEIN",
"authorized_official_first_name": "LEONARD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-299-2570",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G16410",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "DG193A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G16410",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.