DR. SAMUEL AVON BERN (NPI# 1306807862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306807862 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL AVON BERN |
| Credential | M.D. |
| Practice Address |
1280 S Victoria Ave Suite 201 Ventura CA 93003-6555 |
| Practice Telephone | 8056421699 |
| Practice Fax Number | 8056421919 |
| Mailing Telephone | 8056421699 |
| Mailing Fax Number | 8056421919 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | G60603 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 9078425 | 05 |
| Street Address |
1280 S VICTORIA AVE SUITE 201 |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-6555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649249319 | Mark Phillip Bozek | Optometrist | 1280 S Victoria Ave, Suite 100, Ventura, CA 93003-6555 | 2006-03-15 |
| 1861872160 | Judith Ann Holloway | Psychologist | 1280 S Victoria Ave, Suite 230, Ventura, CA 93003-6555 | 2015-06-02 |
| 1245504851 | Marzena Kelder Gilbert | Optometrist | 1280 S Victoria Ave, #100, Ventura, CA 93003-6555 | 2012-02-29 |
| 1598041451 | Ryan Sharma | Psychologist | 1280 S Victoria Ave, Ste 230, Ventura, CA 93003-6555 | 2011-10-24 |
| 1063674273 | Bonnie G Reich | Psychologist | 1280 S Victoria Ave, Ste 230, Ventura, CA 93003-6555 | 2008-06-29 |
| 1801078704 | Stephen M. Feinberg, Md Inc | Urology | 1280 S Victoria Ave, Suite 130, Ventura, CA 93003-6555 | 2007-12-03 |
| 1487771838 | Nancy Sterlin | Marriage & Family Therapist | 1280 S Victoria Ave, Suite 140, Ventura, CA 93003-6555 | 2007-03-23 |
| 1457476764 | Katherine J Emerick | Psychologist | 1280 S Victoria Ave, Suite 230, Ventura, CA 93003-6555 | 2007-03-20 |
| 1336271170 | Paul Gunnar Bohman | Dentist | 1280 S Victoria Ave, Suite 250, Ventura, CA 93003 | 2007-03-09 |
| 1912050006 | Rosalind Cohen Warner | Obstetrics & Gynecology | 1280 S Victoria Ave, #204, Ventura, CA 93003-6555 | 2007-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548291446 | Michael Cahill Pickart | Plastic Surgery | 3438 Loma Vista Road, Ventura, CA 93003 | 2006-07-06 |
| 1619919586 | Arthur Edmon Flynn | Plastic Surgery | 168 N Brent St, Suite 403, Ventura, CA 93003-2817 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696048 | Victor Liu Md, A Medical Corporation | Plastic Surgery | 1720 El Camino Real Ste 200, Burlingame, CA 94010-3226 | 2020-10-09 |
| 1629683255 | Veritas Aesthetics PC | Plastic Surgery | 23838 Valencia Blvd Ste 260, Valencia, CA 91355-5630 | 2020-09-10 |
| 1700405586 | Keyian Paydar, Md, PC | Plastic Surgery | 3991 Macarthur Blvd Ste 320, Newport Beach, CA 92660-3004 | 2020-04-13 |
| 1548892045 | Adventist Health Physicians Network | Plastic Surgery | 301 Science Dr Ste 180, Moorpark, CA 93021-0800 | 2020-02-12 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1790341832 | Frederic Jerome Kolb | Plastic Surgery | 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 | 2019-05-14 |
| 1588125835 | Beauty Eternal, Inc | Plastic Surgery | 1260 East Ave Ste 130, Chico, CA 95926-1021 | 2019-03-28 |
| 1689131229 | Schoemann Reconstructive Surgery | Plastic Surgery | 477 N El Camino Real Ste D101, Encinitas, CA 92024-1370 | 2019-03-01 |
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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.