Organization Active NPI

Rael Bernstein DDS Apc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pittsburg, CA
National Provider Identifier
1831670090
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
46245 Issued in CA
Legal business name
RAEL BERNSTEIN DDS APC
Practice address
1600 N Park Blvd
Pittsburg, CA 94565
Phone
(707) 575-0600
Fax
(707) 230-5620
NPI assigned
Aug 27, 2018
Organization subpart
Yes
Parent organization
RAEL BERNSTEIN, D.D.S., A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Cynthia J Russo
Title
Director of Finance
Phone
(707) 230-5602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 46245 CA Primary

Addresses

Primary practice location

1600 N Park Blvd
Pittsburg, CA 94565

Mailing address

2245 Montgomery Dr
Santa Rosa, CA 95405-4900
Phone (707) 230-5602

National Provider Directory

National Provider Directory
Tax ID family
Rael Bernstein DDS a Professional Corporation11 organizations share this tax ID, including this one
Part of
Rael Bernstein DDS a Professional Corporation

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1600 N Park Blvd
Pittsburg, CA 94565
Phone (707) 575-0600

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1831670090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054900",
            "telephone_number": "707-230-5602",
            "fax_number": "707-230-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N PARK BLVD",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "94565",
            "telephone_number": "707-575-0600",
            "fax_number": "707-230-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAEL BERNSTEIN DDS APC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAEL BERNSTEIN, D.D.S., A PROFESSIONAL CORPORATION",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "707-230-5602"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "46245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.