DR. J NICKOLAS BERBOS (NPI# 1467596114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467596114 |
| Entity Type | Individual |
| Full Name | DR. J NICKOLAS BERBOS |
| Credential | M.D. |
| Practice Address |
1321 N Harbor Blvd Ste 300 Fullerton CA 92835-4124 |
| Practice Telephone | 7148790020 |
| Practice Fax Number | 7145262020 |
| Mailing Telephone | 7148790020 |
| Mailing Fax Number | 7145262020 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G054630 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G654300 | 05 |
| Street Address |
1321 N HARBOR BLVD STE 300 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550648 | Rajiv I Bhavsar | Internal Medicine | 1321 N Harbor Blvd, Suite # 302, Fullerton, CA 92835-4124 | 2005-07-04 |
| 1912449364 | R.t.hansen,jr., D.m.d., Inc. | Dentist | 1321 N Harbor Blvd, Suite 104, Fullerton, CA 92835-4124 | 2016-11-15 |
| 1467884882 | Atheni Yang Dba Fullerton Eye Center Optical | Eyewear Supplier (Equipment, not the service) | 1321 N Harbor Blvd, Suite 301, Fullerton, CA 92835-4124 | 2013-08-08 |
| 1154664985 | James N Berbos Dba Fullerton Eye Center Optical | Eyewear Supplier (Equipment, not the service) | 1321 N Harbor Blvd, Suite 300, Fullerton, CA 92835-4124 | 2013-03-29 |
| 1144553900 | Karen M Depaoli | Dentist | 1321 N Harbor Blvd, Suite 100, Fullerton, CA 92835-4124 | 2009-09-11 |
| 1720311418 | Karen M Depaoli, Dds Inc | Clinic/Center | 1321 N Harbor Blvd, Suite 100, Fullerton, CA 92835-4124 | 2009-09-11 |
| 1851592950 | C. Jack Lee, D.m.d., Inc. | Clinic/Center | 1321 N Harbor Blvd, Suite 200, Fullerton, CA 92835-4124 | 2007-05-29 |
| 1417177221 | Atheni Devera Yang | Optometrist | 1321 N Harbor Blvd, Fullerton, CA 92835-4124 | 2007-04-26 |
| 1851511794 | Jerome Edward Safarik | Dentist | 1321 N Harbor Blvd, Suite 106, Fullerton, CA 92835-4124 | 2007-04-25 |
| 1346372398 | Clyde K Kitchen | Ophthalmology | 1321 N Harbor Blvd, Suite 300, Fullerton, CA 92835-4124 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1942577937 | Presbyterian Health Physicians | Ophthalmology | 301 W Bastanchury, Suite 140, Fullerton, CA 92835-3427 | 2011-11-19 |
| 1063553378 | William D Mosier | Ophthalmology | 265 Laguna Rd, Fullerton, CA 92835-2515 | 2007-02-09 |
| 1568500411 | Leslie Pham | Ophthalmology | 101 Laguna Rd Ste C, Fullerton, CA 92835-3637 | 2007-02-02 |
| 1306842687 | Clifford M Terry | Ophthalmology | 270 Laguna Rd, Suite 100, Fullerton, CA 92835-2521 | 2005-06-22 |
| 1003476508 | William D. Mosier, M.d., Inc., A Professional Medical Corporation | Ophthalmology | 265 Laguna Rd, Fullerton, CA 92835-2515 | 2019-06-17 |
| 1790044626 | Dagny Zhu Luong | Ophthalmology | 1400 N Harbor Blvd, Fullerton, CA 92835-4126 | 2012-05-12 |
| 1407096332 | Paul Choong Hwan Lee Md A Medical Corporation | Ophthalmology | 1401 S Brookhurst Rd, Suite 105, Fullerton, CA 92833-4471 | 2009-03-05 |
| 1811158744 | Lingua Vision Surgical Group | Ophthalmology | 301 W Bastanchury Rd, Suite 115, Fullerton, CA 92835-3419 | 2008-06-23 |
| 1013186352 | John D. Zdral, M.d., Inc. | Ophthalmology | 301 W Bastanchury Rd, Suite 10, Fullerton, CA 92835-3419 | 2008-02-20 |
| Find all providers in FULLERTON | ||||
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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.