Active NPI
Ronnie Bergen, MD
- Neurology Physician
- Los Angeles, CA
National Provider Identifier
1750353488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G146479
- Practice address
- 221 Westwood PLZ
Los Angeles, CA 90095-6204 - Phone
- (310) 794-1195
- Fax
- (310) 983-1172
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G146479 | CA | Primary |
Addresses
Primary practice location
221 Westwood PLZ
Los Angeles, CA 90095-6204
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130008650 | Other | AZ | RR MEDICARE |
| ZWCGCR | Other | AZ | GROUP MEDICARE NUMBER |
| 073841 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.73 of 100
- Quality
- 86.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146479 | CA | MD | Marriage & Family Therapist |
| G146479 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1750353488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 WESTWOOD PLZ",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900956204",
"telephone_number": "310-794-1195",
"fax_number": "310-983-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGEN",
"first_name": "RONNIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G146479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "130008650",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE NUMBER",
"identifier": "ZWCGCR",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "073841",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.