Samuel Abbe Berkman, MD

Key facts

NPI

1730114752

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

G23110 (CA)

Practice address

200 Medical PLZ
#365
Los Angeles, CA 90095-0001

Phone

(310) 825-0631

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 5

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.

• Confermed of California PC Internal Medicine Physician · Irvine, CA · NPI 1316584709
  Medicare reassignment NPD CA · INTERNAL MEDICINE
• Bruce L. Miller M.D. a Professional Corporation Rheumatology Physician · Beverly Hills, CA · NPI 1689864332
  NPD (past)
• Shahram F. Ravan, M.D., Inc. Physical Therapist · Beverly Hills, CA · NPI 1255486866
  NPD (past)
• Susan Azad MD Inc Internal Medicine Physician · Beverly Hills, CA · NPI 1649499724
  NPD (past) INTERNAL MEDICINE
• Confermed PC Internal Medicine Physician · Middletown, CT · NPI 1376190850
  NPD (past) INTERNAL MEDICINE

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730114752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55737 FILE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001",
            "telephone_number": "310-301-8708",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLZ",
            "address_2": "#365",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKMAN",
        "first_name": "SAMUEL",
        "middle_name": "ABBE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G23110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00G231100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

• Shoshi Berk
• Rania Berkane
• Gerald Spencer Berke
• Lila Berkheim, LAC
• Jason A Berkley, D.O.
• Alexis Victoria Berkovits, MD
• Alyssa Berkowitz
• Carley Berkowitz
• Khrister-Nikka Aquino Berkowitz, AGACNP-BC
• Natanel Berkowitz, AMFT, APCC

All providers in Los Angeles, CA · Internal Medicine Physician in California