Individual provider Active NPI

Johannes A. Bernbeck, MD

  • Orthopaedic Surgery of the Spine Physician
  • Los Alamitos, CA
National Provider Identifier
1801967849
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G74978 Issued in CA
Practice address
3851 Katella Ave
Suite 202
Los Alamitos, CA 90720-3309
Phone
(562) 206-0177
Fax
(562) 206-1576
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X G74978 CA Primary

Addresses

Primary practice location

3851 Katella Ave
Suite 202
Los Alamitos, CA 90720-3309

Mailing address

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone (626) 851-1011

Other practice location 1

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone (626) 851-1011

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
I20090522000256 CA Practitioner - Orthopedic Surgery 3577612407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Southern California Keck School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Orthopaedic Specialty Institute IncGroup PAC ID 1658655261, 6 clinicians

Practice addresses (Care Compare)

3851 Katella Ave
Suite 202
Los Alamitos, CA 90720-3497
Phone (562) 206-0177

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Merit-based Incentive Payment System (MIPS)

Final score
72.72 of 100Reported as individual
Quality
63.12
Improvement activities
40
Cost
58.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion13
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74978CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Orthopaedic Specialty Institute Inc Orthopaedic Surgery of the Spine CurrentSince Sep 1, 2021 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Kaiser Foundation Hospitals Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

17525 Ventura Blvd
Ste 210
Encino, CA 91316
Phone (818) 501-8743

3851 Katella Ave
Ste 202
Los Alamitos, CA 90720
Phone (562) 206-0177

Organizations & group practices 4

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 3

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1801967849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BALDWIN PARK BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065806",
            "telephone_number": "626-851-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE",
            "address_2": "SUITE 202",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203309",
            "telephone_number": "562-206-0177",
            "fax_number": "562-206-1576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Baldwin Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Baldwin Park",
            "state": "CA",
            "postal_code": "917065806",
            "country_code": "US",
            "telephone_number": "626-851-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNBECK",
        "first_name": "JOHANNES",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G74978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.