Individual provider Active NPI

Carlo Roberto Bernardino, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Salinas, CA
National Provider Identifier
1770549412
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
C54238 Issued in CA
Practice address
622 Abbott St
Salinas, CA 93901-4315
Phone
(831) 771-3900
Fax
(831) 424-7835
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C54238 CA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X C54238 CA Primary

Addresses

Primary practice location

622 Abbott St
Salinas, CA 93901-4315

Mailing address

63 S Rockford Dr Ste 220
Tempe, AZ 85288-6226
Phone (831) 771-3900

Other practice location 1

2 Upper Ragsdale Dr Ste B130
Monterey, CA 93940-7842
Phone (831) 647-3900

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
I20100917000966 CA Practitioner - Ophthalmology 1254245046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Eye Center a Medical CorpGroup PAC ID 6406743632, 19 clinicians

Practice addresses (Care Compare)

2 Upper Ragsdale Dr
B130
Monterey, CA 93940-7842
Phone (831) 647-3900

622 Abbott St
Salinas, CA 93901-4315

966 Cass St
Suite 100
Monterey, CA 93940-4540
Phone (831) 373-7733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as group
Quality
87.98
Promoting interoperability
88
Improvement activities
40
Cost
49.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C54238CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Eye Center a Medical Corp Ophthalmology CurrentSince Sep 1, 2010 Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

Locations

63 S Rockford Dr
Ste 220
Tempe, AZ 85288

2 Upper Ragsdale Dr
Ste B130
Monterey, CA 93940
Phone (831) 647-3900

966 Cass St
Ste 100
Monterey, CA 93940
Phone (831) 373-7733

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

622 Abbott St
Salinas, CA 93901
Phone (831) 771-3900

622 Abbott St
Ste A
Salinas, CA 93901
Phone (831) 771-3999

Interoperability endpoints

  • Direct secure messaging: carlo.bernardino.p32@direct.avp.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1770549412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S ROCKFORD DR STE 220",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852886226",
            "telephone_number": "831-771-3900",
            "fax_number": "831-424-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 ABBOTT ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014315",
            "telephone_number": "831-771-3900",
            "fax_number": "831-424-7835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Upper Ragsdale Dr Ste B130",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939407842",
            "country_code": "US",
            "telephone_number": "831-647-3900",
            "fax_number": "831-771-3966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARDINO",
        "first_name": "CARLO",
        "middle_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C54238",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "C54238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.