EMMETT BERG DO INC. AND HOLVEY MEDICAL GROUP INC.
NPI 1194850446
Internal Medicine in Van Nuys, CA

Q: What is Emmett Berg Do Inc. And Holvey Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 23, 2007

15211 VANOWEN ST, SUITE 105, VAN NUYS, CA 91405(818) 997-7711(818) 997-3744 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Emmett Berg Do Inc. And Holvey Medical Group Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMETT BERG DO INC. AND HOLVEY MEDICAL GROUP INC. (NPI 1194850446), doing business as Healthline Medical Group, is a healthcare organization registered as an internal medicine in Van Nuys, California and active in the NPI registry since February 2007. The organization lists Rita Gaudioso, Administrator, as its authorized official.

NPPES Registry Identity

NPI1194850446

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameEMMETT BERG DO INC. AND HOLVEY MEDICAL GROUP INC.

Location Address15211 VANOWEN ST, SUITE 105Van Nuys, CA 91405-3606

Mailing Address15211 Vanowen St, Suite 105Van Nuys, CA 91405-3606 · (818) 997-7711 · Fax (818) 997-3744

Phone(818) 997-7711

Fax(818) 997-3744

Organization SubpartNo

Authorized OfficialRita GaudiosoAdministrator · (818) 997-7711

Enumeration DateFebruary 23, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1194850446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

15211 VANOWEN ST, Van Nuys, CA 91405

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Other Names 1

Doing Business AsHealthline Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmett Berg Do Inc. And Holvey Medical Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Emmett Berg Do Inc. And Holvey Medical Group Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Emmett Berg, D.O.

General Practice

NPI 1942382007

15211 VANOWEN ST SUITE 105
Van Nuys, CA 91405

(818) 997-7711

✔ PECOS✔ Accepts MedicareSame address

Barry Rosenblum, D.O.

Family Practice

NPI 1740361096

15211 VANOWEN ST SUITE 105
Van Nuys, CA 91405

(818) 997-7711

✔ PECOS✔ Accepts MedicareSame address

Gary Reyzin, MD

Internal Medicine

NPI 1871779769

5601 DE SOTO AVE
Woodland Hills, CA 91367

(818) 719-2000

✔ PECOS7.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmett Berg Do Inc. And Holvey Medical Group Inc.'s NPI number?

The NPI number for Emmett Berg Do Inc. And Holvey Medical Group Inc. is 1194850446. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Healthline Medical Group.

Where is Emmett Berg Do Inc. And Holvey Medical Group Inc. located?

Emmett Berg Do Inc. And Holvey Medical Group Inc. is located at 15211 Vanowen St Suite 105, Van Nuys, CA 91405. The listed phone number is (818) 997-7711.

What is Emmett Berg Do Inc. And Holvey Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Emmett Berg Do Inc. And Holvey Medical Group Inc. enrolled in Medicare?

Yes. Emmett Berg Do Inc. And Holvey Medical Group Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emmett Berg Do Inc. And Holvey Medical Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Emmett Berg Do Inc. And Holvey Medical Group Inc., in Family Practice, General Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Emmett Berg Do Inc. And Holvey Medical Group Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.