Gerald Spencer Berke
Otolaryngology

Address: 200 Medical Plaza, #550, Los Angeles, CA 90095
Phone: 3102033388

Gerald Spencer Berke (NPI# 1174537575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1174537575
Entity Type Individual
Full Name Gerald Spencer Berke
Gender Male
Practice Address 200 Medical Plaza
#550
Los Angeles
CA 90095
Practice Telephone 3102033388
Mailing Address 5767 W Century Blvd
Suite 200
Los Angeles
CA 90045-5632
Mailing Telephone 3102036688
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-28
Last Update Date 2011-05-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians G40243 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 00G402430 MEDICAID

Physician Overview

NPI 1174537575
PAC ID by PECOS 4183775208
Professional Enrollment ID I20090701000524
Full Name Gerald Berke
Organization Legal Name THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Phone Number 3107941110
Gender M
Graduation Year 1978
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 6406749308
Number of Group Practice Members 28
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050262 RONALD REAGAN U C L A MEDICAL CENTER

Office Location

Street Address 200 MEDICAL PLAZA
#550
City LOS ANGELES
State CA
Zip Code 90095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952379513 Lloyd S Miller Dermatology 200 Medical Plaza, #450, Los Angeles, CA 90095-3075 2006-03-09
1164912267 Alice K Lee Nurse Practitioner 200 Medical Plaza, Los Angeles, CA 90095-0001 2018-05-14
1295239895 James Michael Weinberger Student in an Organized Health Care Education/Training Program 200 Medical Plaza, Los Angeles, CA 90095-0001 2018-03-20
1487065777 Scott Robert Boynton Student in an Organized Health Care Education/Training Program 200 Medical Plaza, Los Angeles, CA 90095-6628 2014-05-08
1487064564 Navid Darouian Internal Medicine 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90024-0001 2014-04-29
1518386796 Donald Elmore Dietz Iv Internal Medicine 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90045-5631 2014-04-15
1760825590 Connie Huey Lin Student in an Organized Health Care Education/Training Program 200 Medical Plaza, # 365, 420, 120, Los Angeles, CA 90024-0001 2013-04-11
1447593645 Yue Ma Student in an Organized Health Care Education/Training Program 200 Medical Plaza, Ste 550, Los Angeles, CA 90024-0000 2013-04-05
1710229281 Juveria Abdullah Hospitalist 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90095 2013-03-22
1295098283 Ingrid Edshteyn Preventive Medicine 200 Medical Plaza, Sutie 365,420,120, Los Angeles, CA 90024-0001 2012-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790266369 Dana Saifan Student in an Organized Health Care Education/Training Program 1000 Veteran Avenue, Los Angeles, CA 90095 2018-08-22
1952894487 Tony Chan Optometrist 200 Stein Plaza Ds-124, Los Angeles, CA 90095 2018-06-09
1932605094 Akash Atul Shah Student in an Organized Health Care Education/Training Program Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 2018-04-05
1316443435 Dane Jensen Brodke Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 2018-04-05
1477058824 Thomas William Gaither Castellanos Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Urology, Los Angeles, CA 90095 2018-03-28
1720583560 Shire Lynn Beach Student in an Organized Health Care Education/Training Program Ucla Medicine Education Office, Rrucla Medical Center, 757 Westwood Plaza, Suite 7501, Los Angeles, CA 90095 2018-03-26
1619471661 Abigail Rose Olson Arons Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Medicine-pediatrics, Los Angeles, CA 90095 2018-03-22
1184128688 Nima Moaven Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave Fl 2, Los Angeles, CA 90095 2018-03-20
1487156428 Merdie Kristine Delfin Nurse Practitioner 200 Medical Plaza 140, Los Angeles, CA 90095 2018-03-06
1346742947 Oscar Rinon Jr. Specialist/Technologist 2131 John Wooden Center, Los Angeles, CA 90095 2018-02-28
Find all providers in zip 90095

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003389107 James Jaber Md A Medical Corporation Otolaryngology 1155 S Grand Ave Apt 807, Los Angeles, CA 90015-2783 2019-01-10
1598280901 Kian Karimi Md Inc Otolaryngology 11645 Wilshire Blvd Fl 6, Los Angeles, CA 90025-6807 2017-08-07
1952758260 Oliver Holger Gantz Otolaryngology 1540 Alcazar Street, Suite 204, Los Angeles, CA 90033 2016-05-17
1770906687 David Carl Marcusen Otolaryngology 660 N Gramercy Pl, Los Angeles, CA 90004-1702 2014-01-28
1528490554 Los Angeles Ent Surgical Associates Otolaryngology 1700 E. Cesar Chavez Ave, Suite 2500, Los Angeles, CA 90033 2013-08-01
1295074458 Christian Paquet Otolaryngology 1200 N State St Ste 4136, Los Angeles, CA 90033-1029 2013-02-07
1598011397 Mehdi Sina Otolaryngology 1401 S Bentley Ave Apt 203, Los Angeles, CA 90025-8031 2012-07-30
1649577156 Hanwon H Cho Otolaryngology 11706 Montana Ave Apt 210, Los Angeles, CA 90049-6724 2011-02-17
1669657748 Jennifer Lynn Long Otolaryngology Ucla Head and Neck Surgery, 200 Medical Plaza, Suite 550, Los Angeles, CA 90095-6975 2008-01-08
1396934824 Avraham Mendelsohn Otolaryngology Mailbox 951624, 62-132 Chs, Los Angeles, CA 90095-1624 2007-10-22
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90095

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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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