Andrea L Bergeleen

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LM578 Issued in CA

Practice address

3914 Murphy Canyon Rd Ste A138
San Diego, CA 92123-4469

Phone

(619) 948-8063

NPI assigned

Oct 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• San Diego County Midwives

  • Midwife
  • Poway, CA
  • NPI 1619327137
  NPD (past)

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1780159145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 WATER ST APT 9",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919424150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 MURPHY CANYON RD STE A138",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234469",
            "telephone_number": "619-948-8063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5711 Water St Apt 9",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919424150",
            "country_code": "US",
            "telephone_number": "619-948-8063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGELEEN",
        "first_name": "ANDREA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Berg, DC
• Samantha Berg, M.D.
• Tamar M Berg, NP
• Teresa Berg, PT, DPT
• Tessa Berg
• Sophea Bergen, PA-C
• Ann Marie Berger-Finley, N.P.
• Beth Creager Berger, PH.D.
• Carolyn E Berger, PH.D.
• Chantal Berger, PT, DPT

• Midwife in San Diego, CA
• Providers in San Diego, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.