Active NPI
Ronald William Berg, D.C.
- Chiropractor
- Foresthill, CA
National Provider Identifier
1760518641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26343
- Practice address
- 24005 Racetrack St.
Foresthill, CA 95631-1430 - Phone
- (530) 367-5133
- Fax
- (530) 367-4728
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC26343 | CA | Primary |
Addresses
Primary practice location
24005 Racetrack St.
Foresthill, CA 95631-1430
Mailing address
PO Box 1430
24005 Racetrack St.
Foresthill, CA 95631-1430
Phone (530) 367-5133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 W Combs Rd
Suite 109
San Tan Valley, AZ 85140-9107
Phone (480) 882-9105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC26343 | CA | MD | Chiropractor |
| 9066 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ironwood Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Packard Health Services, LLC | Past | Accepting new patients | |
| Ronald W. Berg Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Locations
85 W Combs Rd
Ste 109
San Tan Vly, AZ 85140
Phone (480) 882-9105
Organizations & group practices 3
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.
-
- Chiropractor
- San Tan Valley, AZ
- NPI 1902294614
-
- Chiropractor
- Foresthill, CA
- NPI 1205053816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760518641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1430",
"address_2": "24005 RACETRACK ST.",
"city": "FORESTHILL",
"state": "CA",
"postal_code": "956311430",
"telephone_number": "530-367-5133",
"fax_number": "530-367-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24005 RACETRACK ST.",
"city": "FORESTHILL",
"state": "CA",
"postal_code": "956311430",
"telephone_number": "530-367-5133",
"fax_number": "530-367-4728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "RONALD",
"middle_name": "WILLIAM",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Foresthill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.