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Deactivated NPI 1295800423 Deactivated / Inactive NPI Male Practitioner

David Bertelsen

Physician Assistant • Mountain View, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Bertelsen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 22, 2006
NPI Deactivation Date August 12, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

David Bertelsen was a registered Physician Assistant practicing in Mountain View, CA. Throughout an active medical career spanning 13 years, David Bertelsen provided care at the practice location at 701 E EL CAMINO REAL until profile deactivation on 2019-08-12.

Historical Medicare Part B clinical services included new patient outpatient office visit, removal of gallbladder using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

701 E El Camino Real

Mountain View, CA 940402833

Telephone 4087396000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mountain View, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
93 Specialists

Practicing in Mountain View, CA (14617 Statewide)

Telehealth Adoption Rate
31.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $316.00 $108.43
47562 Removal of gallbladder using an endoscope
11 11 $526.40 $98.94

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA10010

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Inna Strugatsky

Internal Medicine

NPI 1023102290
Cam Linh Fernandez , NP

Nurse Practitioner

NPI 1023314192

Nurse Practitioner

Taryn Lamm

Radiology - Body Imaging

NPI 1033153713
Dr. Nancy Ting , MD

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1043500085

Doctor of Medicine (M.D.)

NPI 1063508273

Doctor of Medicine (M.D.)

Arthur Bonham

Physician Assistant

NPI 1063587228

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated August 12, 2019

Record deactivated on August 12, 2019

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Updated Practice Location May 22, 2018

Registered at 701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040 (Tel: 4087396000)

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Updated Business Mailing Address May 22, 2018

Registered at 2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 940406203

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Provider Name / Credentials Updated May 22, 2018

Recorded as DAVID BERTELSEN, PA-C

NPI Profile Active March 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location March 06, 2011

Registered at 701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 940402833 (Tel: 4087396000)

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Updated Business Mailing Address March 06, 2011

Registered at 701 E EL CAMINO REAL, MEDICAL STAFF OFFICE, MOUNTAIN VIEW, CA 940402833 (Tel: 4087396000)

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Provider Name / Credentials Updated March 06, 2011

Recorded as DAVID BERTELSEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2011

Physician Assistant (License #PA10010 in CA)

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Initial NPI Registration & Enumeration November 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295800423
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2006
Last Update: March 06, 2011
Deactivation Date: August 12, 2019

Mailing Address

701 E El Camino Real, Medical Staff Office

Mountain View, CA 940402833

Phone: 4087396000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.