NPIMap

Individual provider Active NPI

David A Bernstein, M.D.

  • Surgery Physician
  • San Diego, CA
National Provider Identifier
1982960704
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A149586 Issued in CA
Practice address
4520 Executive Dr Ste 211
San Diego, CA 92121-3020
Phone
(858) 657-7025
Fax
(858) 228-1740
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A149586 CA Primary

Addresses

Primary practice location

4520 Executive Dr Ste 211
San Diego, CA 92121-3020

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010002517 CA Practitioner - General Surgery 2062787484 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of New York Downstate Medical Center, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Bariatric a Medical Corporation 12 clinicians

Practice addresses (Care Compare)

401 E Highland Ave
Suite 351
San Bernardino, CA 92404-3830
Phone (909) 475-8611

Hospital & facility affiliations

  • St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149586CAMDSurgery Physician

Practice roles (12 of 13)

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jan 21, 2022 Accepting new patients
Regents of the University of California Surgery CurrentSince Aug 30, 2017 Accepting new patients
Regents of the University of California CurrentSince Aug 30, 2017 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jan 21, 2022 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Western Bariatric, a Medical Corporation Surgery CurrentSince Jan 23, 2019 Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Regents of the University of California Past Accepting new patients
Crown Surgery Medical Group Inc Surgery Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

9041 Magnolia Ave
Ste 202
Riverside, CA 92503
Phone (951) 352-5643

4520 Executive Dr
Ste 211
San Diego, CA 92121
Phone (858) 657-7025

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

401 E Highland Ave
Ste 251
Sn Bernrdno, CA 92404
Phone (909) 881-1614

401 E Highland Ave
Ste 351
Sn Bernrdno, CA 92404
Phone (909) 475-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1982960704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR STE 211",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213020",
            "telephone_number": "858-657-7025",
            "fax_number": "858-228-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A149586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.