Healthcare Provider Details

I. General information

NPI: 1669407680
Provider Name (Legal Business Name): DANIEL NATHAN BERGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 S PATTERSON AVE STE 200A
GOLETA CA
93111-2404
US

IV. Provider business mailing address

PO BOX 689
SANTA BARBARA CA
93102-0689
US

V. Phone/Fax

Practice location:
  • Phone: 805-563-7030
  • Fax: 805-225-6264
Mailing address:
  • Phone: 805-563-7030
  • Fax: 805-225-6264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberG79192
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: