Active NPI
Kevin Berger, M.D.
- Internal Medicine Physician
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C53406
- Practice address
- 19251 Califa St
Tarzana, CA 91356-1100 - Phone
- (818) 793-7195
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME78166 | FL | |
| Internal Medicine Physician | 207R00000X | C53406 | CA | Primary |
Addresses
Primary practice location
19251 Califa St
Tarzana, CA 91356-1100
Mailing address
19251 Califa St
Tarzana, CA 91356-1100
Phone (818) 793-7195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257492601 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York Medical College, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3214 Honolulu Ave
La Crescenta, CA 91214-3327
Phone (747) 229-2251
Hospital & facility affiliations
- Bliss Home Health Care, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 591 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53406 | CA | MD | Pharmacist |
| C53406 | CA | MD | Internal Medicine Physician |
| ME78166 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daled MD Group Inc | Current | Accepting new patients | |
| Ag la Crescenta Medical Clinic Inc. | Current | Accepting new patients | |
| American Hospitalist Company PL | Past | Accepting new patients |
Locations
3214 Honolulu Ave
La Crescenta, CA 91214
Phone (747) 229-2251
7537 Laurel Canyon Blvd
Unit A
North Hollywood, CA 91605
Phone (818) 858-0211
Organizations & group practices 3
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.
-
- Geriatric Medicine (Family Medicine) Physician
- La Crescenta, CA
- NPI 1558242610
-
- Neurology Physician
- North Hollywood, CA
- NPI 1023894003
-
- Hospitalist Physician
- Sunrise, FL
- NPI 1679744023
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Montrose, CA
- NPI 1952781791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1972522704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19251 CALIFA ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561100",
"telephone_number": "818-793-7195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19251 CALIFA ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561100",
"telephone_number": "818-793-7195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "KEVIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME78166",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C53406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257492601",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.