Healthcare Provider Details

I. General information

NPI: 1306766431
Provider Name (Legal Business Name): MS. ANASTASIIA BERING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 S BUENA VISTA ST STE 375
BURBANK CA
91505-4558
US

IV. Provider business mailing address

191 S BUENA VISTA ST STE 375
BURBANK CA
91505-4558
US

V. Phone/Fax

Practice location:
  • Phone: 818-729-0014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95037587
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: