Ross Albert Berliner, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3948 Issued in CA

Practice address

1417 W Beverly Blvd
104
Montebello, CA 90640-4123

Phone

(323) 721-6026

Fax

(323) 887-1891

NPI assigned

Aug 5, 2006

Last updated

Jan 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 15

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ross Berliner, DPM, Inc

  • Primary Podiatric Medicine Podiatrist
  • Los Angeles, CA
  • NPI 1659418747
  Medicare reassignment NPD Authorized official
• Avalon Family Medical Group Inc

  • Internal Medicine Physician
  • Wilmington, CA
  • NPI 1114048857
  Medicare reassignment NPD
• Narbonne Multispecialty Medical Group, Inc

  • Internal Medicine Physician
  • Lomita, CA
  • NPI 1396827515
  Medicare reassignment NPD
• Avalon Family Medical Group

  • Podiatrist
  • Wilmington, CA
  • NPI 1295938124
  Authorized official Same address or phone
• Narbonne Medical Group

  • Podiatrist
  • Lomita, CA
  • NPI 1023213949
  Authorized official Same address or phone
• West Beverly Podiatry Group

  • Podiatrist
  • Los Angeles, CA
  • NPI 1003023458
  Authorized official Same address or phone
• West Beverly Podiatry Group, Inc

  • Podiatrist
  • Arcadia, CA
  • NPI 1538175997
  NPD (past)
• West Beverly Podiatry Group, Inc.

  • Podiatrist
  • Montebello, CA
  • NPI 1285640649
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1881603074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 GRIFFITH PARK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271404",
            "telephone_number": "323-664-4331",
            "fax_number": "323-664-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W BEVERLY BLVD",
            "address_2": "104",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404123",
            "telephone_number": "323-721-6026",
            "fax_number": "323-887-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLINER",
        "first_name": "ROSS",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39482",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NARBONNE",
            "identifier": "W10901",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVALON",
            "identifier": "W11318",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00016205",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00171944",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE000310",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DA3847",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE001100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "W12208",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0047500",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE000311",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID ARCADIA",
            "identifier": "W12208A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39480",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0049330",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "WE3948G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Ivette Bautista, LCSW
• Bay Rehabilitation Inc
• Bella Vista Multi Specialty Medical Group Inc
• Michelle Niku Bensoussan, PA-C
• Patricia Beristain
• Edwin Anthony Bermudez Barron, PHARM.D.
• Janeece A Berry, RNP
• Bertha a Gonzalez DO, Inc (N/a)
• Delia Betancourt Manale, COTA
• Beverly Ambulatory Med-Surg Center, PC

• Podiatrist in Montebello, CA
• Providers in Montebello, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.

Verify at the official NPI Registry.