DR. JAY SCOTT BERENTER (NPI# 1861428112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861428112 |
Entity Type | Individual |
Full Name | DR. JAY SCOTT BERENTER |
Credential | D.P.M. |
Practice Address |
9850 Genesee Ave Ste 370 La Jolla CA 92037-1212 |
Mailing Address |
9850 Genesee Ave Suite 370 La Jolla CA 92037-1224 |
Practice Telephone | 8584509218 |
Practice Fax Number | 8584503296 |
Mailing Telephone | 8584509218 |
Mailing Fax Number | 8584509286 |
Enumeration Date | 2006-06-25 |
Last Update Date | 2018-01-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E3365 | CA | Podiatric Medicine & Surgery Service Providers |
Street Address |
9850 GENESEE AVE STE 370 |
City | LA JOLLA |
State | CA |
Zip Code | 92037-1212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598760589 | Frank Edward Mayer | Internal Medicine | 9850 Genesee Ave, Ste 930, La Jolla, CA 92037-1229 | 2005-06-16 |
1649717737 | La Jolla Anesthesia Associates Lp | Nurse Anesthetist, Certified Registered | 9850 Genesee Ave, Suite 980, La Jolla, CA 92037-1224 | 2017-01-26 |
1083151674 | Stephanie Klein | Physician Assistant | 9850 Genesee Ave, Ste 320, La Jolla, CA 92037-1208 | 2017-01-20 |
1346785250 | Lee Marie Atwood | Nurse Practitioner | 9850 Genesee Ave, Suite 400, La Jolla, CA 92037-1224 | 2017-01-01 |
1447795661 | Kirsten Goshen | Nurse Practitioner | 9850 Genesee Ave, Suite 570, La Jolla, CA 92037-1224 | 2016-12-24 |
1194279901 | Ellen Ashman | Nurse Practitioner | 9850 Genesee Ave, La Jolla, CA 92037-1224 | 2016-08-09 |
1164875175 | Miranda Mulholland | Nurse Practitioner | 9850 Genesee Ave, Suite 560, La Jolla, CA 92037-1224 | 2016-07-14 |
1578938023 | Schoemann Medical Corporation | Surgery | 9850 Genesee Ave, Suite 500, La Jolla, CA 92037-1224 | 2015-12-09 |
1679946040 | Lauren E Campagna | Physician Assistant | 9850 Genesee Ave, Suite 320, La Jolla, CA 92037-1224 | 2015-11-07 |
1750751269 | Charles Mears | Specialist/Technologist, Other | 9850 Genesee Ave, Suite210, La Jolla, CA 92037-1224 | 2015-09-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
Find all providers in zip 92037 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689757130 | Ronald D Worley | Podiatrist | 7825 Fay Ave, Suite 200, La Jolla, CA 92037-4252 | 2006-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
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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.