MEDICARE: DEVON BERRY FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95007281	CA
2	363LF0000X	Family Nurse Practitioner	209.011905	IL

General Provider Information

NPI Number	:	1457745192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVON BERRY FNP-C

Provider Business Mailing Address
First Line	:	4859 W SLAUSON AVE # 586
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90056-1290
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3762 SANTA ROSALIA DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3612
Country	:	US
Telephone Number	:	323-250-3447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2015
Last Update Date	:	11/17/2024

Similar Medicare Providers

1346350386 — ELIZABETH J. COVINGTON MD, INC
Practice Location Address:

3762 SANTA ROSALIA DR STE C30
LOS ANGELES, CA
90008-3612

Practice Phone: 323-290-2107
Practice Fax: 323-290-0632

1881601177 — GABRIEL J HALPERIN DPM
Practice Location Address:

3612 1/2 E 1ST ST
LOS ANGELES, CA
90063-2326

Practice Phone: 323-262-4146
Practice Fax: 232-264-7778

1376752766 — DR. GEORGE G. RODRIGUEZ D.C.
Practice Location Address:

3612 E 1ST ST
LOS ANGELES, CA
90063-2326

Practice Phone: 323-264-9163
Practice Fax: 323-264-9847

1154594497 — LAFFA-ACU CLINIC
Practice Location Address:

1930 WILSHIRE BLVD STE 206
LOS ANGELES, CA
90057-3612

Practice Phone: 213-483-1223
Practice Fax:

1821257569 — SOPHIA RHEE L.AC
Practice Location Address:

1930 WILSHIRE BLVD STE 206
LOS ANGELES, CA
90057-3612

Practice Phone: 213-483-1223
Practice Fax:

1629301601 — MR. CARLOS ISAAC VILLARREAL PA
Practice Location Address:

3612 1/2 E 1ST ST
LOS ANGELES, CA
90063-2326

Practice Phone: 323-264-7796
Practice Fax: 323-264-7778

Directions to “ DEVON BERRY FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.