Individual provider Active NPI

Erica Kristen Berggren, MD

  • Maternal & Fetal Medicine Physician
  • San Diego, CA
National Provider Identifier
1912159674
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
C158543 Issued in CA
Practice address
12264 El Camino Real Ste 204
San Diego, CA 92130-3061
Phone
(858) 794-7700
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X C158543 CA Primary

Addresses

Primary practice location

12264 El Camino Real Ste 204
San Diego, CA 92130-3061

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 626-6245

Other practice location 1

9834 Genesee Ave
LA Jolla, CA 92037-1223
Phone (858) 626-6245

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007003361 CA Practitioner - Obstetrics/Gynecology 9739231150 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C158543CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 13, 2019 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Aug 3, 2020 Accepting new patients
Scripps Health Obstetrics & Gynecology CurrentSince Aug 3, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
University of North Carolina Past Accepting new patients
University of North Carolina at Chapel Hill Obstetrics & Gynecology Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients
The Metrohealth System Past Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Scripps Health Past Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients

Locations

9898 Genesee Ave
La Jolla, CA 92037
Phone (858) 824-5222

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

9834 Genesee Ave
La Jolla, CA 92037
Phone (858) 452-5020

9834 Genesee Ave
Ste 128
La Jolla, CA 92037
Phone (585) 554-7555

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

2205 Vista Way
Ste 320
Oceanside, CA 92054
Phone (760) 704-5810

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

12264 El Camino Real
Ste 204
San Diego, CA 92130
Phone (858) 791-7700

550 Washington St
Ste 423
San Diego, CA 92103
Phone (619) 297-5321

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: eberggren381081@scrippshlth.medalliesdirect.net

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1912159674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "858-626-6245",
            "fax_number": "858-626-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303061",
            "telephone_number": "858-794-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9834 Genesee Ave",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371223",
            "country_code": "US",
            "telephone_number": "858-626-6245",
            "fax_number": "858-626-6271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGGREN",
        "first_name": "ERICA",
        "middle_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "C158543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.