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ELISABETH RENEE BERTOLINE PA-C
NPI 1760636252
Physician Assistant in Oxnard, CA

Active since November 10, 2008PECOS Enrolled
2220 E GONZALES RD STE 120A-B, OXNARD, CA 93036(805) 981-5151(805) 981-5150 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2023, Mar 7, 2023 (2 updates tracked since 2023).

About Elisabeth Renee Bertoline Pa-c NPPES

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

ELISABETH RENEE BERTOLINE PA-C (NPI 1760636252) is an individual physician assistant in Oxnard, California, licensed in California (PA20093) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760636252
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELISABETH RENEE BERTOLINECredential: PA-C
Location Address2220 E GONZALES RD STE 120A-BOxnard, CA 93036-3707
Mailing Address800 S Victoria Ave, L4615, Vchca - Physician ServicesVentura, CA 93009-0003 · (805) 677-5181 · Fax (805) 677-5304
Phone(805) 981-5151
Fax(805) 981-5150
Sole ProprietorNo
Enumeration DateNovember 10, 2008
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1760636252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · PA20093✔ Licensed in CO · 2766
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2220 E GONZALES RD STE 120A-B, Oxnard, CA 93036
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Other Names 1

Former Name (1)Elisabeth Renee Fischetti Pa-c

Other Identifiers 1

Medicaid90873050CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisabeth Renee Bertoline Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers70 claims94 services$5.98 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers22 claims26 services$1.08 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$55.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANJA PERILLA FNP
Nurse Practitioner (Family)
2220 E GONZALES RD STE 120A-B
OXNARD, CA 93036
Ventura County (805) 981-5151
COUNTY OF VENTURA
Clinic/Center (Federally Qualified Health Center (FQHC))
2220 E GONZALES RD STE 120A-B
OXNARD, CA 93036
Ventura County (805) 981-5151
SHILPA PAKALA
Family Medicine
2220 E GONZALES RD STE 120A-B
OXNARD, CA 93036
Ventura County (805) 981-5151

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 Elisabeth Bertoline's NPI number?

The NPI number for Elisabeth Bertoline is 1760636252. It was assigned to this individual provider in the NPPES registry on November 10, 2008. The provider is also known as Elisabeth Renee Fischetti Pa-C.

Where is Elisabeth Bertoline located?

Elisabeth Bertoline practices at 2220 E Gonzales Rd Ste 120a-B, Oxnard, CA 93036. The listed phone number is (805) 981-5151.

What is Elisabeth Bertoline's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elisabeth Bertoline enrolled in Medicare?

Yes. Elisabeth Bertoline is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elisabeth Bertoline was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.