Individual provider Active NPI

Shana E. Berger, DC

  • Chiropractor
  • Thousand Oaks, CA
National Provider Identifier
1811080344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22590 Issued in CA
Practice address
1414 E Thousand Oaks Blvd
Suite 211
Thousand Oaks, CA 91362
Phone
(805) 497-0300
Fax
(805) 497-9321
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22590 CA Primary

Addresses

Primary practice location

1414 E Thousand Oaks Blvd
Suite 211
Thousand Oaks, CA 91362

Mailing address

1414 E Thousand Oaks Blvd
Suite 211
Thousand Oaks, CA 91362
Phone (805) 497-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000876 CA Practitioner - Chiropractic 2961493275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1414 E Thousand Oaks Blvd
Suite 211
Thousand Oaks, CA 91362-6294
Phone (805) 497-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC22590CAMDChiropractor
22590CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berger Bodysattva Chiropractic Corporation Chiropractor CurrentSince Jul 6, 2017 Accepting new patients

Locations

1414 E Thousand Oaks Blvd
Ste 211
Thousand Oaks, CA 91362
Phone (805) 449-1443

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811080344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 211",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-497-0300",
            "fax_number": "805-497-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 211",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-497-0300",
            "fax_number": "805-497-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "SHANA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.