DR. NICHOLAS MATTHEW BERNTHAL (NPI# 1902068356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902068356 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS MATTHEW BERNTHAL |
| Credential | M.D. |
| Practice Address |
26 Wavecrest Ave Venice CA 90291-3211 |
| Practice Telephone | 3104523790 |
| Mailing Telephone | 3104523790 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2013-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A103272 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1932140639 | 05 |
| Street Address |
26 WAVECREST AVE |
| City | VENICE |
| State | CA |
| Zip Code | 90291-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285683979 | Michael H Jaquith | Orthopaedic Surgery | 1525 Tamiami Trl S, #602, Venice, FL 34285-3568 | 2006-05-09 |
| 1871780130 | Orthopaedic Center of Venice Pl | Orthopaedic Surgery | 241 Nokomis Ave S, Suite B, Venice, FL 34285-2319 | 2007-10-01 |
| 1780883892 | Alan Richard Maurer | Orthopaedic Surgery | 836 Sunset Lake Blvd, Suite 102, Venice, FL 24292-7555 | 2007-07-18 |
| 1114129236 | David Chan | Orthopaedic Surgery | 836 Sunset Lake Blvd, Suite 205 A, Venice, FL 34292 | 2007-06-01 |
| 1174685044 | Center for Orthopaedics and Sports Medicine | Orthopaedic Surgery | 1525 Tamiami Trl S, Ste 602, Venice, FL 34285-3568 | 2006-12-15 |
| 1083656128 | Julio Gonzalez | Orthopaedic Surgery | 241 Nokomis Ave S, Suite B, Venice, FL 34285-2319 | 2006-06-12 |
| 1194775767 | William L Mehserle | Orthopaedic Surgery | 1525 Tamiami Trl S, #602, Venice, FL 34285-3568 | 2006-05-12 |
| 1629036603 | Derek Jason Cuff | Orthopaedic Surgery | 836 Sunset Lake Blvd, Bldg A Suite 205, Venice, FL 34292-7554 | 2006-05-01 |
| 1427029586 | Brian T Briggs | Orthopaedic Surgery | 836 Sunset Lake Blvd, Suite 102, Venice, FL 34292-7555 | 2006-01-27 |
| 1427039569 | John Paul Vidolin | Orthopaedic Surgery | 836 Sunset Lake Blvd, Suite 102, Venice, FL 34292-7554 | 2005-11-07 |
| Find all providers in VENICE | ||||
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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.