Active NPI
Jeanne Dustin Bernard, D.O.
- Endocrinology, Diabetes & Metabolism Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 20A7046
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7105726 | Other | CIGNA PPO | |
| 020A70460-20 | Other | CA | BLUE SHIELD PPIN |
| 7047172 | Other | CA | AETNA |
| 1849643 | Other | FIRST HEALTH NETWORK | |
| P-11204912 | Other | MULTIPLAN |
Other names 1
- J. Dustin Bernard
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- 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
- French Hospital Medical Center
- Marian Regional Medical Center
- Adventist Health Sierra Vista
- Adventist Health Twin Cities
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.05 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A7046 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Dustin Bernard, D.O., Medical Corporation | Endocrinology, Diabetes & Metabolism | Current | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- San Luis Obispo, CA
- NPI 1700807906
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Luis Obispo, CA
- NPI 1609044924
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1639101116
-
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.