JOHANNA BERMUDEZ VERA
NPI 1639647647
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

NPI Status: Active since November 07, 2018

Contact Information

2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA
ZIP 92108
Phone: (619) 299-1419

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  • Individual
  • Female
  • Years of Experience 6
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JOHANNA BERMUDEZ VERA

This page provides the complete NPI Profile along with additional information for Johanna Bermudez Vera, a provider established in San Diego, California with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1639647647 assigned on November 2018. The practitioner's primary taxonomy code is 363LP0808X with license number 95017611 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1639647647
Provider Name
JOHANNA BERMUDEZ VERA
Gender
Female
Entity Type
Individual
Location Address
2810 CAMINO DEL RIO S STE 102 SAN DIEGO, CA 92108
Location Phone
(619) 299-1419
Mailing Address
600 B ST STE 1570 SAN DIEGO, CA 92101
Mailing Phone
(619) 615-0439
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
Yes
Enumeration Date
11-07-2018
Last Update Date
09-20-2021
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A nurse practitioner (NP) like Johanna Bermudez Vera is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 140 Arbor Dr
    San Diego, CA 92103
    (760) 798-5602

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
95017611
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WP0808XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health

95119476 (CA)
2163WP0809XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health, Adult

95119476 (CA)
3390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Johanna Bermudez Vera is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Johanna Bermudez Vera is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3779966940

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230713001978

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.71 for a new patient copayment and $27.1 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 92108 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.87
  • Minimum New Patient Price $62.1
  • Maximum New Patient Price $184.71
  • Average New Patient Copayment $23.71
  • Minimum New Patient Copayment $15.52
  • Maximum New Patient Copayment $46.17

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $108.42
  • Minimum Established Patient Price $20.62
  • Maximum Established Patient Price $151.42
  • Average Established Patient Copayment $27.1
  • Minimum Established Patient Copayment $5.15
  • Maximum Established Patient Copayment $37.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639647647
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691241468
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 4 + 1 + 4 + 6 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1639647647 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205875606DR. TEJA SINGH JR. M.D.
Individual
Internal Medicine2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
(858) 779-4686
1275903551NORTH COUNTY POST ACUTE CARE SOLUTIONS, INC
Organization
Internal Medicine (Geriatric Medicine)2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
(858) 779-4686
1891702734 NANDLAL M PATEL MD
Individual
Internal Medicine2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
(619) 299-1419
1750053559 STEFAN BULATOVIC PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
(619) 299-1419
1255732228MRS. KATHERINE BARRINGER ARNP
Individual
Nurse Practitioner (Gerontology)2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
(619) 299-1419
1639753262 SHAULA CARBAJAL KAUFMAN
Individual
Nurse Practitioner2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
(619) 299-1419
1598141772 ALBERT OPPEDISANO JR. PSYD
Individual
Psychologist (Clinical)2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
(619) 299-1419
1235771932 LEA PAULINE SHERMAN PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
(619) 299-1419
1881374411TELEDOCS INC
Organization
Family Medicine (Geriatric Medicine)2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
(949) 527-9009
1962256453 ANN MARGRETTE TIMOG NP
Individual
Nurse Practitioner (Family)2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
(619) 501-6278
1457720872MISS RIPAL CHINUBHAI PATEL NP-C
Individual
Nurse Practitioner2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
(636) 538-0217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639647647, enumerated in the NPI registry as an "individual" on November 07, 2018

The provider is located at 2810 Camino Del Rio S Ste 102 San Diego, Ca 92108 and the phone number is (619) 299-1419

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

The provider has more than 6 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $94.87 with an average copayment of $23.71 for new patient appointments. Established patients should expect a typical charge of $108.42 and an average copayment of 27.1. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on November 07, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.