DR. BENJAMIN MAURICE KERSHBERG (NPI# 1003120429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003120429 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN MAURICE KERSHBERG |
| Credential | M.D. |
| Practice Address |
2295 S Vineyard Ave Mob A Ontario CA 91761-7925 |
| Mailing Address |
2150 S State College Blvd Apt. 1076 Anaheim CA 92806-0102 |
| Practice Telephone | 9097242554 |
| Practice Fax Number | 9097242552 |
| Mailing Telephone | 3109274442 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2015-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A111594 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2295 S VINEYARD AVE MOB A |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-7925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359075 | Barry S Bricca | Audiologist | 2295 S Vineyard Ave, Ontario, CA 91761 | 2005-10-10 |
| 1215569488 | Steven Christopher Nassar | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2020-02-06 |
| 1144865981 | Brian Huang | Physical Therapist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-11-15 |
| 1740837798 | Martin R. Dole | Registered Nurse | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-08-23 |
| 1952869117 | Amirali Sepehrdad | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-03-06 |
| 1326513698 | Kelsey Lauren Pundamiera | Speech-Language Pathologist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2018-10-12 |
| 1699259739 | Teresa Uytingco Mendez | Respiratory Therapist, Certified | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2018-09-24 |
| 1871073411 | Jisha Pangottil | Nurse Practitioner | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2018-08-14 |
| 1265973762 | Claire Fitz | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2017-03-16 |
| 1811438500 | Pauline Poon | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2017-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891178885 | Snake River Pediatrics | Pediatrics | 1050 Sw 3rd Ave Ste 3200, Ontario, OR 97914-4560 | 2015-07-08 |
| 1548444250 | Sushil Prabakaran Anand | Pediatrics | 304 W F St, Ontario, CA 91762-3206 | 2007-12-18 |
| 1154547065 | Kids Come First Community Clinic | Pediatrics | 1556 S Sultana Ave, Ontario, CA 91761-4238 | 2007-04-18 |
| 1497891022 | Tems Pediatric Care Inc | Pediatrics | 304 West F St, Ontario, CA 91762-3206 | 2007-01-30 |
| 1780745448 | Catareya P Liep | Pediatrics | 437 N Campus Ave, Ontario, CA 91764-4229 | 2006-12-13 |
| 1679689194 | Theodora Ewusi-mensah | Pediatrics | 304 West F Street, Ontario, CA 91762-3206 | 2006-08-21 |
| 1205849577 | Rosario Retino | Pediatrics | 320 W G Street, Ste 101, Ontario, CA 91762-3233 | 2006-08-15 |
| 1326050303 | Nora Francisco De La Paz | Pediatrics | 932 W Idaho Ave Ste 101, Ontario, OR 97914-2155 | 2006-08-11 |
| 1841229655 | Nawal Kamel | Pediatrics | 1151 E Walnut St, Ontario, CA 91761-6155 | 2006-07-02 |
| 1861451098 | V. Diana Timperman | Pediatrics | 2003 W 4th St, Ontario, OH 44906-1787 | 2006-03-17 |
| Find all providers in ONTARIO | ||||
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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.