ROBERT E. BERRY, DO, PC (NPI# 1285939330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285939330 |
| Entity Type | Organization |
| Organization Name | ROBERT E. BERRY, DO, PC |
| Other Organization Name | ROBERT E. BERRY, DO, A PROFESSIONAL CORPORATION |
| Practice Address |
5471 Kearny Villa Rd. Suite 200 San Diego CA 92123-1143 |
| Practice Telephone | 8585710606 |
| Mailing Telephone | 8585710606 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |
| Authorized Official Name | MS. BEVERLY ANN MIZE (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8584279203 |
| Authorized Official Credential | RHIT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
20A7616 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Robert E. Berry, DO, A Professional Corporation | Other Name - Individual/Organization |
| Street Address |
5471 KEARNY VILLA RD. SUITE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932211570 | Kent A Feldman | Podiatrist | 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143 | 2006-08-31 |
| 1851437792 | Tal David, Md, Inc | Orthopaedic Surgery | 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629092473 | Tal David | Orthopaedic Surgery | 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 | 2006-07-26 |
| 1518997378 | John Charles Austin | Orthopaedic Surgery | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2006-07-04 |
| 1982607867 | Jonathan J. Myer | Orthopaedic Surgery | 6719 Alvarado Rd, Ste 200, San Diego, CA 92120-5256 | 2005-05-24 |
| 1104081363 | Adnan Cutuk | Orthopaedic Surgery | 3750 Convoy Street, Suite 116, San Diego, CA 92111-3739 | 2008-07-26 |
| 1548473945 | David Thomas Easley | Orthopaedic Surgery | 3444 Kearny Villa Rd, Suite 202, San Diego, CA 92123-1959 | 2007-05-08 |
| 1326184250 | David J. Chao Md, Inc | Orthopaedic Surgery | 8901 Activity Road, San Diego, CA 92126 | 2007-01-29 |
| 1851437792 | Tal David, Md, Inc | Orthopaedic Surgery | 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143 | 2007-01-29 |
| 1407904584 | William Joseph Previte | Orthopaedic Surgery | 7525 Linda Vista Rd, Suite C, San Diego, CA 92111-5344 | 2007-01-08 |
| 1730290289 | David J Chao | Orthopaedic Surgery | 8901 Activity Rd, San Diego, CA 92126-4427 | 2006-08-31 |
| 1265543615 | Paul C Murphy | Orthopaedic Surgery | 5471 Kearny Villa Rd Ste 200, San Diego, CA 92123-1143 | 2006-08-31 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.