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

Jack Bergal, DO

Individual provider Hospitalist Physician · NPI 1629693858

Jack Bergal, DO is a Hospitalist in Santa Barbara, California. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2020, 6 years ago. Practices with Sansum Clinic, a 320-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
CA
In the registry since
2020
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

317 W Pueblo St
Santa Barbara, CA 93105-4310
Phone: (805) 898-3077
Fax: (805) 898-3058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 20A20526 (CA)

Record details

NPI number1629693858
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 12, 2020
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing addressPo Box 276004, Sacramento, CA 95827-6004

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2020 (6 years in practice)
Group practice Sansum Clinic — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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