Active NPI
Laura Bertsch, PA-C
- Physician Assistant
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 60490
- Practice address
- 280 S Main St
Orange, CA 92868-3852 - Phone
- (714) 937-2146
- NPI assigned
- Jan 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 60490 | CA | Primary |
Addresses
Primary practice location
280 S Main St
Orange, CA 92868-3852
Mailing address
2955 Champion Way Apt 290
Tustin, CA 92782-1227
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1040 W Imperial Hwy
Suite D
La Habra, CA 90631-0608
Phone (714) 451-1072
109 S Las Posas Rd
Suite 101
San Marcos, CA 92078-2419
Phone (760) 258-4826
14443 Culver Dr
14443 A
Irvine, CA 92604-0343
Phone (949) 767-8173
3195 Harbor Blvd
Suite 3
Costa Mesa, CA 92626-2514
Phone (714) 263-0227
3851 Katella Ave
Suite 100
Los Alamitos, CA 90720-3385
Phone (562) 430-4138
6971 El Camino Real
Suite 101
Carlsbad, CA 92009-4114
Phone (760) 258-4971
Hospital & facility affiliations
- Providence St. Jude Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60490 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of California PC | Current | Accepting new patients |
Locations
6971 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 258-4971
14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173
2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990
Interoperability endpoints
- laura.bertschpac.p1@direct.osiortho.nextgenshare.com
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.
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Urgent Care Clinic/Center
- Laguna Niguel, CA
- NPI 1417526112
-
- Emergency Medicine Physician
- Fullerton, CA
- NPI 1720190804
-
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1881283299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 CHAMPION WAY APT 290",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 S MAIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683852",
"telephone_number": "714-937-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTSCH",
"first_name": "LAURA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "60490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.