Individual provider Active NPI

William M Berke, OD

  • Corneal and Contact Management Optometrist
  • Santa Ana, CA
National Provider Identifier
1699755850
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
5504 Issued in CA
Practice address
3301 S Harbor Blvd
Ste 104
Santa Ana, CA 92704-6857
Phone
(714) 979-2021
Fax
(714) 549-3367
NPI assigned
Jan 21, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 5504 CA Primary

Addresses

Primary practice location

3301 S Harbor Blvd
Ste 104
Santa Ana, CA 92704-6857

Mailing address

3301 S Harbor Blvd
Ste 104
Santa Ana, CA 92704-6857
Phone (714) 979-2021

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
I20101227000382 CA Practitioner - Optometry 6103014717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5504CAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ramin Tayani MD Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

3301 S Harbor Blvd
Ste 104
Santa Ana, CA 92704
Phone (714) 979-2021

Interoperability endpoints

  • Direct secure messaging: william.berkeod.p1@direct.tayani.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699755850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S HARBOR BLVD",
            "address_2": "STE 104",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046857",
            "telephone_number": "714-979-2021",
            "fax_number": "714-549-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S HARBOR BLVD",
            "address_2": "STE 104",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046857",
            "telephone_number": "714-979-2021",
            "fax_number": "714-549-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKE",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "5504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.