Active NPI
Ana M Bermudez
- Obstetrics & Gynecology Physician
- Castro Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A167282
- Practice address
- 20642 John Dr
Castro Valley, CA 94546-5103 - Phone
- (510) 785-5000
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | A167282 | CA | Primary |
Addresses
Primary practice location
20642 John Dr
Castro Valley, CA 94546-5103
Mailing address
20642 John Dr
Castro Valley, CA 94546-5103
Phone (510) 785-5000
Other practice location 1
Ucla Ob/Gyn 10833 Le Conte Ave Chs 27-126
Los Angeles, CA 90095-0001
Phone (310) 825-9945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Warren Alpert Medical School of Brown University, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
620 Columbus Ave
New York, NY 10024-1458
Phone (212) 580-3866
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chen & Morgan OB-GYN Westside PLLC | Current | Accepting new patients |
Locations
620 Columbus Ave
Ste 2
New York, NY 10024
Phone (212) 600-9411
620 Columbus Ave
New York, NY 10024
Phone (212) 580-3866
26 Firemens Memorial Dr
Ste 115
Pomona, NY 10970
Phone (212) 229-9590
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.
-
- Specialist
- New York, NY
- NPI 1184732760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1679079065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20642 JOHN DR",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465103",
"telephone_number": "510-785-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20642 JOHN DR",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465103",
"telephone_number": "510-785-5000"
}
],
"practiceLocations": [
{
"address_1": "Ucla Ob/Gyn 10833 Le Conte Ave Chs 27-126",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900950001",
"country_code": "US",
"telephone_number": "310-825-9945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMUDEZ",
"first_name": "ANA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A167282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.