Mariya Berkovich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12941 Issued in CA

Practice address

9201 W Sunset Blvd Ste 709
West Hollywood, CA 90069-3708

Phone

(310) 275-5533

Fax

(310) 275-5523

NPI assigned

Jun 18, 2008

Last updated

Jun 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1659532125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 709",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693708",
            "telephone_number": "310-275-5533",
            "fax_number": "310-275-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 709",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693708",
            "telephone_number": "310-275-5533",
            "fax_number": "310-275-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOVICH",
        "first_name": "MARIYA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edi Berbic
• Nicholas Bercovici, D.O.
• James Richard Berenson, M.D.
• Adriane Bergman, PHYSICAL THERAPIST
• Marina Berkman, M.S., MFT
• Regina R. Berkovich, MD
• Michael S Berlin, MD
• Deana Berlioz, CRNA
• Daniel S Berman, MD
• Michelle E Bernard, CRNA

• Optometrist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.