Emily Ruth Berry, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A131321 Issued in CA

Practice address

315 E Route 66
Glendora, CA 91740-6244

Phone

(626) 963-4124

NPI assigned

Aug 6, 2014

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

Other identifiers 1

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

84.36 of 100Reported as group

Quality

60.04

Promoting interoperability

87

Improvement activities

40

Cost

69.31

Merit-based Incentive Payment System (MIPS)

Final score

82.35 of 100Reported as group

Quality

52.92

Promoting interoperability

93

Improvement activities

40

Cost

70.76

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Emanate Health Medical Care Foundation

  • Multi-Specialty Clinic/Center
  • West Covina, CA
  • NPI 1467195073
  Medicare reassignment NPD
• Emanate Health Medical Group

  • Family Medicine Physician
  • Glendora, CA
  • NPI 1326582743
  Medicare reassignment NPD
• Premiere Surgical Specialists, a Professional Corporation

  • Surgery Physician
  • Pasadena, CA
  • NPI 1710319017
  Medicare reassignment NPD
• Citrus Valley Physician Partners

  • Specialist
  • West Covina, CA
  • NPI 1043703150
  NPD
• Emanate Health Medical Group

  • General Practice Physician
  • Covina, CA
  • NPI 1881054997
  NPD
• Premiere Plastic Surgery Inc

  • Specialist
  • Pasadena, CA
  • NPI 1336319441
  NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1700295425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E GLENARM ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053418",
            "telephone_number": "626-768-4415",
            "fax_number": "626-403-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406244",
            "telephone_number": "626-963-4124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Grand Ave Ste 407",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917414290",
            "country_code": "US",
            "telephone_number": "626-960-6026",
            "fax_number": "626-658-2848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 S Sunset Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917903940",
            "country_code": "US",
            "telephone_number": "626-732-8390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 S Arroyo Pkwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053930",
            "country_code": "US",
            "telephone_number": "626-449-4859",
            "fax_number": "626-403-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "EMILY",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A131321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD PHYSICIAN AND SURGEON LICENSE",
            "identifier": "A131321",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.