Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Berthold Halter Jr., PA-C

Individual provider Medical Physician Assistant · NPI 1952636524

Berthold Halter Jr., PA-C is a Physician Assistant in Corona, California. Qualified in 1995, 31 years ago. Practices with Oc Urgentcare Medical Group Incorporated, a 34-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Licensed in
CA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

854 Magnolia Ave Ste 101
Corona, CA 92879-3109
Phone: (951) 737-1454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA13705 (CA)

Record details

NPI number1952636524
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 14, 2009
Last updated in NPPESMay 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Oc Urgentcare Medical Group Incorporated — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Corona