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PAUL ROBERT BERNOULLI RN NPI 1558943860


NPI Information

NPI: 1558943860
Provider Name: PAUL ROBERT BERNOULLI, RN
Classification: Registered Nurse - 163WP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

Address:
301 VICTORIA ST
COSTA MESA, CA
ZIP 92627
Phone: (949) 642-2734
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Paul Robert Bernoulli, RN is a psychiatric/mental health and child and adolescent registered nurse in Costa Mesa, CA. Paul Robert Bernoulli, RN NPI is 1558943860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 VICTORIA ST
COSTA MESA, CA
ZIP 92627-995
Phone: (949) 642-2734

The enumeration date for this NPI number is 4/26/2021 and was last updated on 5/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WP0807XRegistered NursePsychiatric/Mental Health, Child & Adolescent628912CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11234MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.