Individual provider Active NPI

Richard A Bernstein, DO

  • Physical Medicine & Rehabilitation Physician
  • Capitola, CA
National Provider Identifier
1750485777
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A6688 Issued in CA
Practice address
4400 Capitola Rd
Suite 200
Capitola, CA 95010-3571
Phone
(408) 364-6799
Fax
(408) 378-4510
NPI assigned
Sep 11, 2006
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A6688 CA Primary

Addresses

Primary practice location

4400 Capitola Rd
Suite 200
Capitola, CA 95010-3571

Mailing address

4170 Gross Road Ext
Ste 6
Capitola, CA 95010-2054
Phone (561) 241-9300

Other identifiers 1

IdentifierTypeStateIssuer
77-0458316OtherCATAX ID

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
I20120413000651 CA Practitioner - Physical Medicine and Rehabilitation 1254386139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4170 Gross Rd Ext
Suite 6
Capitola, CA 95010-2054
Phone 83146416054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6688CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Bernstein, DO Inc Physical Medicine & Rehabilitation CurrentSince Jun 30, 1994 Accepting new patients
Solis Acupuncture Inc. PastSince Jun 30, 1994 Accepting new patients

Locations

4170 Gross Road Ext
Ste 6
Capitola, CA 95010
Phone (831) 464-1605

Interoperability endpoints

  • Direct secure messaging: santacruzosteopathic.richardbernstein@140800.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1750485777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 GROSS ROAD EXT",
            "address_2": "STE 6",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102054",
            "telephone_number": "561-241-9300",
            "fax_number": "561-515-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 CAPITOLA RD",
            "address_2": "SUITE 200",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103571",
            "telephone_number": "408-364-6799",
            "fax_number": "408-378-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A6688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "77-0458316",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

Verify at the official NPI Registry.