Michellani Bernard

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

279417 Issued in CA

Practice address

1865 9TH Street
Santa Monica, CA 90404

Phone

(310) 314-6200

NPI assigned

Feb 17, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1720611908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 30TH ST STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053051",
            "telephone_number": "310-314-6200",
            "fax_number": "310-450-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 9TH STREET",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-314-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2644 30th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904053051",
            "country_code": "US",
            "telephone_number": "310-314-6200",
            "fax_number": "310-450-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "MICHELLANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "279417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Bernacki, PH.D.
• Bernard Geller M D Allergy & Clinical Immunology
• Bernard Jiang, M.D., a Professional
• Bernard Weintraub MD Inc
• Dorothy Bernard, MS, RDN, IFNCP
• Teresita Berndes-Carlson, MA
• Laura Lynne Bernet
• Megan Elizabeth Bernstein
• Julie Taylor Bernthal, MD
• Caitlin E Berry, D.P.T.

• All providers in Santa Monica, CA
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.