Provider Demographics
NPI:1154684041
Name:BERNSTEIN, NAMITA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAMITA
Middle Name:
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NAMITA
Other - Middle Name:
Other - Last Name:ROKKAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:610 E ROMIE LN STE 2
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4209
Mailing Address - Country:US
Mailing Address - Phone:831-422-9001
Mailing Address - Fax:831-422-5077
Practice Address - Street 1:610 E ROMIE LN STE 2
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4209
Practice Address - Country:US
Practice Address - Phone:831-422-9001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-17
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD459769208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103243687Medicaid