Active NPI
Anya Berenshteyn, NP
- Gerontology Nurse Practitioner
- Camarillo, CA
National Provider Identifier
1780085779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 95001153
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP95001153 | Other | CA | NURSE PRACTITIONER LICENSE |
Other names 1
- Anna Berenshteyn
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.