Jill Robin Berlin, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

E3871 Issued in CA

Practice address

26912 Carranza Dr
Mission Viejo, CA 92691-5002

Phone

(949) 581-2944

Fax

(949) 768-2647

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jill R. Berlin, DPM Inc

  • Podiatrist
  • Mission Viejo, CA
  • NPI 1104033901
  Authorized official Same address or phone
• Convalescent Podiatry Care

  • Podiatrist
  • Lakewood, CA
  • NPI 1568576528
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891887782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26912 CARRANZA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915002",
            "telephone_number": "949-768-2647",
            "fax_number": "949-768-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26912 CARRANZA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915002",
            "telephone_number": "949-581-2944",
            "fax_number": "949-768-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "JILL",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E3871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Benzl, MD
• Juliana Marie Beran, RN
• Jason Berg, PHARM.D.
• William Ezial Berger, M.D.
• Christen Bergman, D.D.S., M.S.
• Danniella Alexandra Berman
• Karen Marie Bernard, CRNA
• Marsha Kristel Bernardo, MD
• Brett Andrew Berry
• Gregory Berry, LMFT, CAS, PSYD

• Primary Podiatric Medicine Podiatrist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Primary Podiatric Medicine Podiatrist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.