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STEPHEN C BERENS MD A MED. CORP. NPI 1992850879


NPI Information

NPI: 1992850879
Provider Name: STEPHEN C BERENS, MD A MED. CORP.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1301 20TH ST.
SUITE 590
SANTA MONICA, CA
ZIP 90404
Phone: (310) 828-4633
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STEPHEN C BERENS, MD A MED. CORP. is a cardiovascular disease internal medicine in Santa Monica, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. STEPHEN C BERENS, MD A MED. CORP. NPI is 1992850879. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1301 20TH ST.
SUITE 590
SANTA MONICA, CA
ZIP 90404
Phone: (310) 828-4633
Fax: (818) 784-5639

The provider's authorized official is Roberta J Berens .
The authorized official title is Vice Pre & Sec. Of Corporation and has the following contact phone number (310) 828-4633.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 6/10/2011.


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
1174400000XSpecialistA22556CALIFORNIANo
2207RC0000XInternal MedicineCardiovascular DiseaseA-22556CALIFORNIAYes

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
1A23140MEDICARE UPINCALIFORNIA
2WA22556CMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAOFFICE MEDICARE ID
3WA22556DMEDICARE OSCAR/CERTIFICATIONCALIFORNIA
41528050408OTHERCALIFORNIAPERSONAL NATIONAL PROVIDE

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: 11/14/2023

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