Individual provider Active NPI

Anya Berenshteyn, NP

  • Gerontology Nurse Practitioner
  • Camarillo, CA
National Provider Identifier
1780085779
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95001153 Issued in CA
Practice address
751 E Daily Dr
Suite 120
Camarillo, CA 93010-6076
Phone
(805) 256-7810
Fax
(805) 256-7840
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95001153 CA
Gerontology Nurse Practitioner 363LG0600X 95001153 CA Primary

Addresses

Primary practice location

751 E Daily Dr
Suite 120
Camarillo, CA 93010-6076

Mailing address

751 E Daily Dr
Suite 120
Camarillo, CA 93010-6076
Phone (805) 256-7810

Other identifiers 1

IdentifierTypeStateIssuer
NP95001153OtherCANURSE PRACTITIONER LICENSE

Other names 1

  • Anna Berenshteyn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1780085779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E DAILY DR",
            "address_2": "SUITE 120",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106076",
            "telephone_number": "805-256-7810",
            "fax_number": "805-256-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E DAILY DR",
            "address_2": "SUITE 120",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106076",
            "telephone_number": "805-256-7810",
            "fax_number": "805-256-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENSHTEYN",
        "first_name": "ANYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95001153",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95001153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "NP95001153",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "BERENSHTEYN",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.