Nicholas Matthew Bernthal, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Venice, CA
NPI 1902068356 · NPPES record last updated Jul 17, 2013
Key facts
- NPI
- 1902068356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- A103272 (CA)
- Practice address
- 26 Wavecrest Ave
Venice, CA 90291-3211 - Phone
- (310) 452-3790
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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
- Regents of the University of California
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
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081103000352 | CA | Practitioner - Orthopedic Surgery |
0143389338 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles (11 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Orthopaedic Surgery | Current |
Accepting new patients |
| Orthopaedic Hospital | Current |
Accepting new patients | |
| Regents of the University of California | Orthopaedic Surgery | Current |
Accepting new patients |
| Orthopaedic Hospital Medical Group Inc | Orthopaedic Surgery | Current |
Accepting new patients |
| University of Utah Orthopedic Consultants | Orthopaedic Surgery | Past | Accepting new patients |
| Orthopaedic Spine Surgeons | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients | |
| Regents of the Univ of California | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| Ortho Urgent Care Medical Group, Inc. | Past | Accepting new patients |
Locations
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
403 W Adams Blvd
Fl Third
Los Angeles, CA 90007
403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330
2400 S Flower St
Los Angeles, CA 90007
Phone (213) 742-1000
File 54206
Los Angeles, CA 90074
101341 File
Pasadena, CA 91189
1250 16th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6593
1225 15th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6560
1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- nbernthal16479@direct.uclahealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A103272 | CA | Yes |
Addresses
Primary practice location
26 Wavecrest Ave
Venice, CA 90291-3211
Mailing address
26 Wavecrest Ave
Venice, CA 90291-3211
Phone (310) 452-3790
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932140639 | Medicaid | CA |
Other providers in Venice, CA
- Kristal Diane Bent
- Olivia Rebecca Berman
- Estefania Bernabe
- Eddie James Bernal Jr.
- Monica Judith Bernal
- Rudolfo J Berru
- Paula Betart
- Theresa Bierek
- Tieryn Elizabeth Bills
- Judith Bin-Nun
All providers in Venice, CA · Orthopaedic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.