Provider Demographics
NPI:1679012082
Name:BERNSTINE, DARRINA
Entity type:Individual
Prefix:
First Name:DARRINA
Middle Name:
Last Name:BERNSTINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 E TRAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-3958
Mailing Address - Country:US
Mailing Address - Phone:510-759-4701
Mailing Address - Fax:
Practice Address - Street 1:345 E TRAVIS BLVD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-3958
Practice Address - Country:US
Practice Address - Phone:510-899-2478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-17
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Yes172V00000XOther Service ProvidersCommunity Health Worker