Active NPI
Bernard Monderer MD
- Ophthalmology Physician
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G34153
- Legal business name
- BERNARD MONDERER MD
- Practice address
- 15211 Vanowen St
Ste 210
Van Nuys, CA 91405-3606 - Phone
- (818) 786-0710
- Fax
- (818) 786-0712
- NPI assigned
- Dec 1, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernard Monderer, MD
- Title
- Owner
- Phone
- (818) 786-0710
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G34153 | CA | Primary |
Addresses
Primary practice location
15211 Vanowen St
Ste 210
Van Nuys, CA 91405-3606
Mailing address
15211 Vanowen St
Ste 210
Van Nuys, CA 91405-3606
Phone (818) 786-0710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3059218 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Bernard Monderer MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Van Nuys, CA
- NPI 1851595227
Locations
15211 Vanowen St
Ste 210
Van Nuys, CA 91405
Phone (818) 786-0710
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Van Nuys, CA
- NPI 1548289671
-
- Ophthalmology Physician
- Lakewood, CA
- NPI 1386860575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912981101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15211 VANOWEN ST",
"address_2": "STE 210",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053606",
"telephone_number": "818-786-0710",
"fax_number": "818-786-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15211 VANOWEN ST",
"address_2": "STE 210",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053606",
"telephone_number": "818-786-0710",
"fax_number": "818-786-0712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERNARD MONDERER MD",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MONDERER",
"authorized_official_first_name": "BERNARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-786-0710",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G34153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3059218",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.