Allan L. Bernstein, MD
Individual provider Active NPI Neurology Physician · Sebastopol, CA
NPI 1992889067 · NPPES record last updated May 10, 2013
Key facts
- NPI
- 1992889067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- G22090 (CA)
- Practice address
- 652 Petaluma Ave
Suite H
Sebastopol, CA 95472-4256 - Phone
- (707) 823-7616
- Fax
- (707) 823-2803
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091118000520 | CA | Practitioner - Neuropsychiatry |
5294873808 |
Reassigns benefits to 2 organizations Practice locations: Sebastopol, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtuox, LLC | Current |
Accepting new patients | |
| Santa Rosa Community Health Centers | Current | Accepting new patients | |
| Santa Rosa Community Health Centers | Current |
Accepting new patients | |
| Santa Rosa Community Health Centers | Current |
Accepting new patients | |
| Petaluma Health Center Inc | Past | Accepting new patients | |
| Petaluma Health Center Inc | Past | Accepting new patients | |
| Shelleen E Denno MD Inc. | Past |
Accepting new patients |
Locations
3569 Round Barn Cir
Santa Rosa, CA 95403
Interoperability endpoints
- abernstein613914@direct.ochin.org
- abernstein627540@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G22090 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G220900 | Medicaid | CA |
Other providers in Sebastopol, CA
- David J Benefiel
- Chad A Bennis
- Scott Benstock
- Karen H Bergman
- Rhonda Berney
- Daniel Bierman
- Misty Renae Black
- John Thomas Blount
- Gretchen Linda Carol Blum
- Karin N Boehm
All providers in Sebastopol, CA · Neurology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.