Provider Demographics
NPI:1457317729
Name:BERNSTEIN, JOSHUA IAN (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:IAN
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 WEBSTER ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2373
Mailing Address - Country:US
Mailing Address - Phone:415-923-3456
Mailing Address - Fax:415-923-3121
Practice Address - Street 1:2100 WEBSTER ST
Practice Address - Street 2:SUITE 412
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2373
Practice Address - Country:US
Practice Address - Phone:415-923-3815
Practice Address - Fax:415-749-5713
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99752207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A997520Medicaid
CA00A997520Medicare PIN
CAI13636Medicare UPIN