Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Blake Wade Berman, DO

Individual provider Neurological Surgery Physician · NPI 1023164365

Dr. Blake Wade Berman, DO is a Neurosurgery in LA Mirada, California. Qualified in 2002, 24 years ago. Practices with First Choice Physician Partners, a 140-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

16702 Valley View Ave
LA Mirada, CA 90638-5824
Phone: (143) 675-3907
Fax: (714) 367-1683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 20A8839 (CA)

Record details

NPI number1023164365
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 27, 2007
Last updated in NPPESApril 18, 2020
Certification dateApril 18, 2020
Mailing address16702 Valley View Ave, La Mirada, CA 90638-5824

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice First Choice Physician Partners — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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