Emma Mariel Bernstein, EMT, C19CO, RN(S)

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

4119 W Commonwealth Ave
Fullerton, CA 92833-2535

Phone

(646) 477-7534

NPI assigned

Dec 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Emma Mariel Bernstein-Mandelbaum Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

Interoperability endpoints

• Direct secure messaging: emma.bernstein@cawgcap.org

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1740876879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5541 CHINA PT",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908036800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 W COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332535",
            "telephone_number": "646-477-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "EMMA MARIEL",
        "name_prefix": "Ms.",
        "credential": "EMT, C19CO, RN(S)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emma.bernstein@cawgcap.org",
            "affiliation": "N",
            "address_1": "4119 W Commonwealth Ave",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928332535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMMA MARIEL",
            "last_name": "BERNSTEIN-MANDELBAUM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Crystal Bernal, B.S.
• Rhiannon Bernal
• Emma Claire Bernard
• Jason Bernard
• Patricia Santos Bernardo, PHARMD
• Flavio Berny
• Daniella Amber Berrios
• Ariana Berta, LCSW
• Maiya Corrine Bertrand, LCSW
• Joscelyn Berumen

• Independent Duty Corpsman in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.