Active NPI
Martin Gerald Bernstone, DPM
- Primary Podiatric Medicine Podiatrist
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- E1690
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E16900 | Medicaid | CA |
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
Enrollment records 1
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 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 4133 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1690 | CA | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D.O.D. Medical Group Inc | Primary Podiatric Medicine | Current | Accepting new patients |
| Silver Moon Podiatry Inc | Current | 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.
-
- Primary Podiatric Medicine Podiatrist
- Van Nuys, CA
- NPI 1730806639
-
- Health Service Clinic/Center
- Granada Hills, CA
- NPI 1164213385
-
- Primary Podiatric Medicine Podiatrist
- Lake Balboa, CA
- NPI 1598203788
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.