Look up the most recent NPI and PECOS records

Shaun S. Berger

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Shaun S. Berger does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1033228838
Provider Type
Individual
Full Name
Berger, Shaun S.
Title
Dr.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/29/2006
Last Updated
10/17/2025

Contact Information

Practice Location

3020 Childrens Way, San Diego, CA 92123-4223

(858) 966-8800

Unlisted Fax

Mailing Location

3020 Childrens Way, Mc5003, San Diego, CA 92123-4223

(858) 309-6300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A60943 California

Provider Identifiers

ID	Description	Issuer
ID 00A609430	Description Medicaid	Issuer Unlisted California

Shaun S. Berger

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Rhee, Kyung E

Haddad, Gabriel George

Stump, Chari Diana

Ayson, Nicole Mae Ketring

Graff, Nancy

Gorham, Laura

Mohammadi, Yasamin Chelsea

Kaufhold, Marilyn Jean

Kim, Jenny

Butler, April H.