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

Individual provider Physician Assistant · NPI 1316584857

Kevin Berardi, PA-C is a Physician Assistant in San Diego, California. Qualified in 2019, 7 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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

4077 Fifth Ave
San Diego, CA 92103-2105
Phone: (858) 832-2478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1275 York Ave, New York, NY 10065-6007 — (212) 639-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1316584857
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 3, 2019
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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