NPIMap

Individual provider Active NPI

Nicholas Matthew Bernthal, M.D.

  • Orthopaedic Surgery Physician
  • Venice, CA
National Provider Identifier
1902068356
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A103272 Issued in CA
Practice address
26 Wavecrest Ave
Venice, CA 90291-3211
Phone
(310) 452-3790
NPI assigned
Jun 26, 2008
Last updated
Jul 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A103272 CA Primary

Addresses

Primary practice location

26 Wavecrest Ave
Venice, CA 90291-3211

Mailing address

26 Wavecrest Ave
Venice, CA 90291-3211
Phone (310) 452-3790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081103000352 CA Practitioner - Orthopedic SurgeryPractitioner - Emergency Medicine 0143389338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
JS Weill Medical College, Cornell University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1225 15TH St
Suite 2100
Santa Monica, CA 90404-1101
Phone (310) 319-1234

1250 16TH St
Santa Monica, CA 90404-1249

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
68.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Orthopaedic Surgery CurrentSince Jun 1, 2013 Accepting new patients
Regents of the University of California Orthopaedic Surgery CurrentSince Jun 1, 2013 Accepting new patients
Orthopaedic Hospital CurrentSince Apr 14, 2019 Accepting new patients
Orthopaedic Hospital Medical Group Inc Orthopaedic Surgery CurrentSince Apr 14, 2019 Accepting new patients
UCLA Medical Group Past Accepting new patients
Orthopaedic Spine Surgeons Past Accepting new patients
Regents of the Univ of California Past Accepting new patients
University of Utah Orthopedic Consultants Orthopaedic Surgery Past Accepting new patients
Ortho Urgent Care Medical Group, Inc. Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

2400 S Flower St
Los Angeles, CA 90007
Phone (213) 742-1000

403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330

403 W Adams Blvd
Fl Third
Los Angeles, CA 90007

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 54206
Los Angeles, CA 90074

101341 File
Pasadena, CA 91189

1225 15th St
Ste 2100
Santa Monica, CA 90404
Phone (310) 319-4000

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

1250 16th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6593

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nbernthal16479@direct.uclahealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1902068356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WAVECREST AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913211",
            "telephone_number": "310-452-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WAVECREST AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913211",
            "telephone_number": "310-452-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNTHAL",
        "first_name": "NICHOLAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A103272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, CA

Sources for this page

Verify at the official NPI Registry.