Individual provider Active NPI

Martin Gerald Bernstone, DPM

  • Primary Podiatric Medicine Podiatrist
  • Van Nuys, CA
National Provider Identifier
1649450610
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E1690 Issued in CA
Practice address
15110 Kittridge St
Van Nuys, CA 91405-4526
Phone
(818) 785-0444
Fax
(818) 785-0444
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X E1690 CA Primary

Addresses

Primary practice location

15110 Kittridge St
Van Nuys, CA 91405-4526

Mailing address

15110 Kittridge St
Van Nuys, CA 91405-4526
Phone (818) 785-0444

Other identifiers 1

IdentifierTypeStateIssuer
000E16900MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630001213 CA Practitioner - Podiatry 8022054873 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14550 Archwood St
C
Van Nuys, CA 91405-4604
Phone (818) 951-5540

17543 Chatsworth St
Granada Hills, CA 91344-5720
Phone (818) 730-9435

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth4133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1690CAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
D.O.D. Medical Group Inc Primary Podiatric Medicine CurrentSince Oct 1, 2022 Accepting new patients
Silver Moon Podiatry Inc CurrentSince Jun 15, 2025 Accepting new patients

Locations

17543 Chatsworth St
Granada Hills, CA 91344
Phone (818) 730-9435

14550 Archwood St
#C
Van Nuys, CA 91405
Phone (818) 851-5540

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1649450610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 KITTRIDGE ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054526",
            "telephone_number": "818-785-0444",
            "fax_number": "818-785-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15110 KITTRIDGE ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054526",
            "telephone_number": "818-785-0444",
            "fax_number": "818-785-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTONE",
        "first_name": "MARTIN",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E1690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E16900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.