J. Dustin Bernard, D.O., Medical Corporation

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

2414859 Issued in CA

Legal business name

J. DUSTIN BERNARD, D.O., MEDICAL CORPORATION

Practice address

2074 Parker St
Suite 120
San Luis Obispo, CA 93401-5052

Phone

(805) 546-9911

Fax

(805) 546-9933

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeanne Dustin Bernard, D.O.NPI 1932133238

Title

President

Phone

(805) 546-9911

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanne Dustin Bernard, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Luis Obispo, CA
  • NPI 1932133238
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1700807906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12338",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934062338",
            "telephone_number": "805-546-9911",
            "fax_number": "805-546-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 PARKER ST",
            "address_2": "SUITE 120",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015052",
            "telephone_number": "805-546-9911",
            "fax_number": "805-546-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DUSTIN BERNARD, D.O., MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "DUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-546-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "2414859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DEPT OF CORPORATIONS NUMBER",
            "identifier": "C2414859",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amira E Issa, PC, BA
• Gibar Iturbide Colin
• Alex Joseph Iversen
• J Trees Ritter D.O., Inc.
• J Trees Ritter, DO, Inc.
• Jac W Pedersen II DDS
• Jac W. Pedersen II, D.D.S., Inc
• Sarah Jackson
• Ava Blue Jacobsen
• Eric J. Jacobsen, M.D.

• Endocrinology, Diabetes & Metabolism Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.