Ani Berberyan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A160957 Issued in CA

Practice address

9140 Haven Ave Ste 112
Rancho Cucamonga, CA 91730-5414

Phone

(909) 296-7800

Fax

(909) 509-5511

NPI assigned

Apr 21, 2016

Last updated

Jan 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

48.59 of 100Reported as group

Quality

54.12

Improvement activities

0

Cost

84.41

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: aberberyan857091@direct.memorialcare.org

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.

• Chaparral Medical Group, Inc.

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  • NPI 1093777666

  Family Medicine

  Medicare reassignment NPD
• Our Family Medical Group, Inc.

  • Internal Medicine Physician
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  • NPI 1437601879
  Medicare reassignment NPD
• Chaparral Medical Group Inc

  • Dermatology Physician
  • Upland, CA
  • NPI 1205898335
  NPD
• Chaparral Medical Group Inc.

  • Cardiovascular Disease Physician
  • Upland, CA
  • NPI 1639869605
  NPD
• Our Family Medical Group, Inc.

  • Gastroenterology Physician
  • Chino, CA
  • NPI 1982419081

  Family Medicine

  NPD

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1700230224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 HAVEN AVE STE 112",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305414",
            "telephone_number": "909-296-7800",
            "fax_number": "909-509-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 HAVEN AVE STE 112",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305414",
            "telephone_number": "909-296-7800",
            "fax_number": "909-509-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERBERYAN",
        "first_name": "ANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A160957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Benitez
• Della C Bennett, MD
• Jacqueline Myung Benoy
• Janice Verna Benson
• Cynthia E. Benvenuto, SLP
• Melissa Kiersten Bergstrom
• Mariela Bermudez
• Noura Bermudez
• Rosita Bernal
• Jessica Lauren Bernstein, DPT

• Family Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Family Medicine Physician in California

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

Verify at the official NPI Registry.