Active NPI
Julia Fay Berman
- Physician Assistant
- Pasadena, CA
National Provider Identifier
1780202473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2923 Bradley St Ste 120
Pasadena, CA 91107-1503 - Phone
- (626) 795-6596
- NPI assigned
- Jul 8, 2020
- Last updated
- Jul 21, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2923 Bradley St Ste 120
Pasadena, CA 91107-1503
Mailing address
4016 Via Pima
Palos Verdes Estates, CA 90274-1460
Other practice location 1
4016 Via Pima
Palos Verdes Estates, CA 90274-1460
Phone (310) 480-2780
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
888 S Figueroa St
Suite 1050
Los Angeles, CA 90017-5310
Phone (213) 319-3339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
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- Dermatology Physician
- Los Angeles, CA
- NPI 1538640669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1780202473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4016 VIA PIMA",
"city": "PALOS VERDES ESTATES",
"state": "CA",
"postal_code": "902741460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2923 BRADLEY ST STE 120",
"city": "PASADENA",
"state": "CA",
"postal_code": "911071503",
"telephone_number": "626-795-6596"
}
],
"practiceLocations": [
{
"address_1": "4016 Via Pima",
"address_purpose": "LOCATION",
"city": "Palos Verdes Estates",
"state": "CA",
"postal_code": "902741460",
"country_code": "US",
"telephone_number": "310-480-2780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMAN",
"first_name": "JULIA",
"middle_name": "FAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.