Active NPI
Allan L. Bernstein, MD
- Neurology Physician
- Sebastopol, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G22090
- Practice address
- 652 Petaluma Ave
Suite H
Sebastopol, CA 95472-4256 - Phone
- (707) 823-7616
- Fax
- (707) 823-2803
- NPI assigned
- Oct 25, 2006
- Last updated
- May 10, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G22090 | CA | Primary |
Addresses
Primary practice location
652 Petaluma Ave
Suite H
Sebastopol, CA 95472-4256
Mailing address
PO Box 625
Graton, CA 95444-0625
Phone (707) 823-7616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neuropsychiatry
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Petaluma Health Center Inc
Practice addresses (Care Compare)
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22090 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Rosa Community Health Centers | Current | Accepting new patients | |
| Santa Rosa Community Health Centers | Current | Accepting new patients | |
| Virtuox, LLC | Current | Accepting new patients | |
| Santa Rosa Community Health Centers | Current | Accepting new patients | |
| Shelleen E Denno MD Inc. | Past | Accepting new patients | |
| Petaluma Health Center Inc | Past | Accepting new patients | |
| Petaluma Health Center Inc | Past | Accepting new patients |
Locations
3569 Round Barn Cir
Santa Rosa, CA 95403
Interoperability endpoints
- abernstein613914@direct.ochin.org
- abernstein627540@direct.ochin.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Vista Campus
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1578631172
-
- Critical Care Medicine (Internal Medicine) Physician
- Santa Rosa, CA
- NPI 1548490261
-
dba Caritas Campus
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1467180430
-
dba Bridge Health Services
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1518345511
-
- Physiological Laboratory
- Coral Springs, FL
- NPI 1518906940
-
dba Petaluma Health Center
- Federally Qualified Health Center (FQHC)
- Petaluma, CA
- NPI 1588656268
-
dba Rohnert Park Health Center
- Federally Qualified Health Center (FQHC)
- Rohnert Park, CA
- NPI 1669870739
-
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1114382751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1992889067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 625",
"city": "GRATON",
"state": "CA",
"postal_code": "954440625",
"telephone_number": "707-823-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 PETALUMA AVE",
"address_2": "SUITE H",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724256",
"telephone_number": "707-823-7616",
"fax_number": "707-823-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "ALLAN",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G22090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.