Individual provider Active NPI

Neil Malcolm Berkowitz, MD

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1750451035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A40554 Issued in CA
Practice address
10297 Scripps Trail
San Diego, CA 92131-2307
Phone
(858) 586-0443
Fax
(858) 586-0563
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A40554 CA Primary

Addresses

Primary practice location

10297 Scripps Trail
San Diego, CA 92131-2307

Mailing address

10297 Scripps Trail
San Diego, CA 92131-2307
Phone (858) 586-0443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131101000550 CA Order and Referring Only - Family PracticePractitioner - Family Practice 7911132766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750451035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10297 SCRIPPS TRAIL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312307",
            "telephone_number": "858-586-0443",
            "fax_number": "858-586-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10297 SCRIPPS TRAIL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312307",
            "telephone_number": "858-586-0443",
            "fax_number": "858-586-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "NEIL",
        "middle_name": "MALCOLM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.