Individual provider Active NPI

Jeanne Dustin Bernard, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Luis Obispo, CA
National Provider Identifier
1932133238
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
20A7046 Issued in CA
Practice address
2074 Parker St
Suite 120
San Luis Obispo, CA 93401-5052
Phone
(805) 546-9911
Fax
(805) 546-9933
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 20A7046 CA Primary

Addresses

Primary practice location

2074 Parker St
Suite 120
San Luis Obispo, CA 93401-5052

Mailing address

PO Box 12338
San Luis Obispo, CA 93406-2338
Phone (805) 546-9911

Other identifiers 5

IdentifierTypeStateIssuer
7105726OtherCIGNA PPO
020A70460-20OtherCABLUE SHIELD PPIN
7047172OtherCAAETNA
1849643OtherFIRST HEALTH NETWORK
P-11204912OtherMULTIPLAN

Other names 1

  • J. Dustin Bernard Professional name

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
I20040308000489 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 2769370550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2074 Parker St
San Luis Obispo, CA 93401-5052
Phone (805) 546-9911

2074 Parker St
Suite 120
San Luis Obispo, CA 93401-5046

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

Merit-based Incentive Payment System (MIPS)

Final score
47.05 of 100Reported as individual
Quality
58.33
Improvement activities
0
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A7046CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Dustin Bernard, D.O., Medical Corporation Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2004 Accepting new patients

Locations

2074 Parker St
Ste 120
San Luis Obispo, CA 93401
Phone (805) 546-9911

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1932133238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12338",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934062338",
            "telephone_number": "805-546-9911",
            "fax_number": "805-546-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 PARKER ST",
            "address_2": "SUITE 120",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015052",
            "telephone_number": "805-546-9911",
            "fax_number": "805-546-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "JEANNE",
        "middle_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "20A7046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "7105726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PPIN",
            "identifier": "020A70460-20",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7047172",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "1849643",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P-11204912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "BERNARD",
            "middle_name": "DUSTIN",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.