MRS. RONNI GORDON BERGMAN (NPI# 1942253117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942253117 |
| Entity Type | Individual |
| Full Name | MRS. RONNI GORDON BERGMAN |
| Credential | NP |
| Practice Address |
401 So Fair Oaks Ave Pasadena CA 91105 |
| Mailing Address |
695 So Madison Ave Pasadena CA 91106 |
| Practice Telephone | 6267952244 |
| Practice Fax Number | 6267955480 |
| Mailing Telephone | 6267923792 |
| Mailing Fax Number | 6265775206 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NPF2207 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
206251 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 SO FAIR OAKS AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912317942 | Kelly Snyder Ruemmele | Nurse Practitioner | 3737 Red Bluff Rd Ste 150, Pasadena, TX 77503-3307 | 2014-04-29 |
| 1467879650 | Meghan Begley | Nurse Practitioner | 3100 Mountain Rd Ste E, Pasadena, MD 21122-2018 | 2014-03-25 |
| 1003907106 | Carolyn R. Decker | Nurse Practitioner | 433 Edgewater Rd, Pasadena, MD 21122-5622 | 2006-09-27 |
| 1639191471 | Sharon Elizabeth Brodie | Nurse Practitioner | 8109 Ritchie Highway, Pasadena, MD 21122 | 2006-07-24 |
| 1881180677 | Charlotte Smith Chudy | Nurse Practitioner | 3100 Mountain Rd Ste E, Pasadena, MD 21122-2018 | 2018-07-05 |
| 1871826776 | Valerie Lynn Willis | Nurse Practitioner | 100 W California Blvd, Pasadena, CA 91109-7013 | 2009-09-09 |
| 1922236801 | Erin Colleen Lytle | Nurse Practitioner | 3100 Mountain Rd, Pasadena, MD 21122-2018 | 2009-06-30 |
| 1871626200 | Terry Marie Boehmer | Nurse Practitioner | 351 S Hudson Ave, Pasadena, CA 91101-3507 | 2007-03-14 |
| 1366587206 | Carolyn Joyce Wadsworth | Nurse Practitioner | 351 S Hudson Ave, Pasadena, CA 91101-3507 | 2007-02-20 |
| 1295876936 | Corley Fichera | Nurse Practitioner | 4949 Fairmont Pkwy, Suite 200, Pasadena, TX 77505-3723 | 2007-02-08 |
| Find all providers in PASADENA | ||||
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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.