Stephen C Berens, MD a Med. Corp.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A-22556 Issued in CA

Legal business name

STEPHEN C BERENS, MD A MED. CORP.

Practice address

1301 20TH St.
Suite 590
Santa Monica, CA 90404

Phone

(310) 828-4633

Fax

(818) 784-5639

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Roberta J Berens, M.D.

Title

Vice Pre & Sec. of Corporation

Phone

(310) 828-4633

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen C. Berens, M.D.

  • Cardiovascular Disease Physician
  • Santa Monica, CA
  • NPI 1528050408
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1992850879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 261037",
            "address_2": "SUITE 268W",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914261037",
            "telephone_number": "310-828-4633",
            "fax_number": "310-828-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST.",
            "address_2": "SUITE 590",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-828-4633",
            "fax_number": "818-784-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C BERENS, MD A MED. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "BERENS",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRE & SEC. OF CORPORATION",
        "authorized_official_telephone_number": "310-828-4633",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A22556",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A-22556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NATIONAL PROVIDE",
            "identifier": "1528050408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.