Individual provider Active NPI

Kevin Berger, M.D.

  • Internal Medicine Physician
  • Tarzana, CA
National Provider Identifier
1972522704
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C53406 Issued in CA
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

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
257492601MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060315000119 FL Practitioner - Internal Medicine 2961419056
I20090608000165 CA Practitioner - Internal Medicine 2961419056 Reassigns benefits to 1 organization

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 Home health agency, Montrose, CA, CCN 553132

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue591

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53406CAMDPharmacist
C53406CAMDInternal Medicine Physician
ME78166FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daled MD Group Inc CurrentSince Sep 10, 2023 Accepting new patients
Ag la Crescenta Medical Clinic Inc. CurrentSince Sep 25, 2025 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.