ANYA BERENSHTEYN


Address: 751 E Daily Dr, Suite 120, Camarillo, CA 93010-6076
Phone: 8052567810

ANYA BERENSHTEYN (NPI# 1780085779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780085779
Entity Type Individual
Full Name ANYA BERENSHTEYN
Other Name ANNA BERENSHTEYN
Credential NP
Practice Address 751 E Daily Dr
Suite 120
Camarillo
CA 93010-6076
Practice Telephone 8052567810
Practice Fax Number 8052567840
Mailing Telephone 8052567810
Mailing Fax Number 8052567840
Enumeration Date 2014-09-09
Last Update Date 2016-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
95001153 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
95001153 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NURSE PRACTITIONER LICENSE NP95001153 01

Office Location

Street Address 751 E DAILY DR
SUITE 120
City CAMARILLO
State CA
Zip Code 93010-6076

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699086769 Terry L Schneider Nurse Practitioner 751 E Daily Dr, Suite 120, Camarillo, CA 93010-6076 2010-06-23
1326384512 Identity Medical Group, Inc. Internal Medicine 751 E Daily Dr, Suite 120, Camarillo, CA 93010-6076 2012-12-17
1619268216 Brenda Joy Montgomery Nurse Practitioner 751 E Daily Dr, Suite 120, Camarillo, CA 93010-6076 2011-04-29
1558663245 Valley Care Select Ipa Health Maintenance Organization 751 E Daily Dr, Suite 120, Camarillo, CA 93010-6076 2010-12-01

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City CAMARILLO
Zip Code 93010

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Dataset Information

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.

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