Bernardo Ariston Marcos, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

G38005 Issued in CA

Practice address

22647 Ventura Blvd.
Suite 348
Woodland Hills, CA 91364

Phone

(818) 225-7453

Fax

(818) 225-7932

NPI assigned

May 15, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frank R. Lusher, M.D., Inc.

  • Specialist
  • Mission Hills, CA
  • NPI 1932432929
  NPD (past)
• Edward E Rotan MD Inc

  • Family Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1922267905
  NPD (past)
• Mohs Surgery &Dermatology

  • Specialist
  • Elgin, IL
  • NPI 1356721591
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982655726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22647 VENTURA BLVD.",
            "address_2": "SUITE 348",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-225-7453",
            "fax_number": "818-225-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22647 VENTURA BLVD.",
            "address_2": "SUITE 348",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-225-7453",
            "fax_number": "818-225-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOS",
        "first_name": "BERNARDO",
        "middle_name": "ARISTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G38005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dezi Von Manos Carmona
• Michaela Manoucheri
• David James Manske Jr.
• Crystal Brianna Manzo
• Vlada Manzur, PHARM.D.
• Laina Beth Melago Marcus, M.A.
• Robert Jerome Marcus, PH.D., R.PH.
• Heidi Marcz, PSS
• Maral Melissa Mardiros, M.D.
• Martin H Mardirosian, D.D.S, M.S.

• Procedural Dermatology Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Procedural Dermatology 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.