Active NPI
James R Bernave
- Specialist
- Vista, CA
National Provider Identifier
1679626865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT239
- Practice address
- 1976 Hacienda Dr
Vista, CA 92081-6025 - Phone
- (760) 758-4770
- Fax
- (760) 758-3274
- NPI assigned
- Jan 19, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT239 | CA | Primary |
Addresses
Primary practice location
1976 Hacienda Dr
Vista, CA 92081-6025
Mailing address
1976 Hacienda Drive
Vista, CA 92081-6025
Phone (760) 758-4770
Other names 1
- James R Bernave
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679626865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1976 HACIENDA DRIVE",
"city": "VISTA",
"state": "CA",
"postal_code": "920816025",
"telephone_number": "760-758-4770",
"fax_number": "760-758-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1976 HACIENDA DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920816025",
"telephone_number": "760-758-4770",
"fax_number": "760-758-3274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAVE",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "BERNAVE",
"middle_name": "R",
"credential": "RPT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.