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

Mr. Berlin Vincent

Individual provider Certified Registered Nurse Anesthetist · NPI 1144987801

Mr. Berlin Vincent is a Certified Registered Nurse Anesthetist (CRNA) in LA Jolla, California. Qualified in 2021, 5 years ago. Practices with Maple Gate Anesthesiologists, PC, a 116-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
5
Licensed in
CA, NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

9500 Gilman Dr
LA Jolla, CA 92093-5004
Phone: (760) 224-2952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 W Arbor Dr, San Diego, CA 92103-9000 — (800) 926-8273

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence NA95001625 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 96947501 (NY)

Record details

NPI number1144987801
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 17, 2021
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing addressPo Box 232410, San Diego, CA 92193-2410

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Maple Gate Anesthesiologists, P.C. — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Jolla