Individual provider Active NPI

Clifford A. Bernstein, M.D.

  • Interventional Pain Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1639199045
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G73289 Issued in CA
Practice address
18800 Delaware Street, Suite 400
Huntington Beach, CA 92648-1959
Phone
(714) 495-4050
Fax
(714) 380-6285
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X G73289 CA Primary

Addresses

Primary practice location

18800 Delaware Street, Suite 400
Huntington Beach, CA 92648-1959

Mailing address

P.O. Box 27298
Santa Ana, CA 92799
Phone (714) 495-4050

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
I20130226000451 CA Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 5597919837 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Pain Management Medical Group, Inc. Interventional Pain Medicine CurrentSince Feb 20, 1998 Accepting new patients

Locations

18800 Delaware St
Ste 400
Huntington Beach, CA 92648
Phone (714) 495-4050

1950 E 17th St
Ste 200
Santa Ana, CA 92705
Phone (714) 495-4050

Interoperability endpoints

  • Direct secure messaging: clifford.bernstein@3970.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1639199045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 27298",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92799",
            "telephone_number": "714-495-4050",
            "fax_number": "714-380-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE STREET, SUITE 400",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481959",
            "telephone_number": "714-495-4050",
            "fax_number": "714-380-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "CLIFFORD",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G73289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.