Emmett A. Berg, D.O.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

20A4478 Issued in CA

Practice address

15211 Vanowen St
Suite 105
Van Nuys, CA 91405-3606

Phone

(818) 997-7711

Fax

(818) 997-3744

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Michigan State University College of Human Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emmett Berg DO Inc. and Holvey Medical Group Inc.Group PAC ID 6800832908, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Plaza HC Holding Company, LLC

  • Skilled Nursing Facility
  • Scottsdale, AZ
  • NPI 1114273778

  Direct Ownership Interest

  CMS ownership

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.

• Emmett Berg DO Inc. and Holvey Medical Group Inc.

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1194850446
  Medicare reassignment Care Compare group NPD
• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  Care Compare affiliation

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942382007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST",
            "address_2": "SUITE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053606",
            "telephone_number": "818-997-7711",
            "fax_number": "818-997-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST",
            "address_2": "SUITE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053606",
            "telephone_number": "818-997-7711",
            "fax_number": "818-997-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "EMMETT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "20A4478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Lucille Bennett, LMFT124984
• Sheila Bennett
• Benom Home Health Care, Inc.
• James Willis Bentley Jr., D.D.S.
• Nelli Berberyan, NP
• Lauren Bergamo, M.A.
• Linda Marie Bergman, RN,WHCNP
• Aziz Berjis, DPM
• Berkley Valley Convalescent Hospital Inc
• Adrian Bermudez Mendez

• Adult Medicine Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.