{"schema":"gale.providerFacts/1","npi":"1366425357","url":"https://www.gale.care/providers/ca/madera/kenneth-bernstein-md-1366425357","factsUrl":"https://www.gale.care/npi/1366425357.json","markdownUrl":"https://www.gale.care/npi/1366425357.md","generatedAt":"2026-11-02T23:46:44.823Z","exportId":"elig-ca-20261023T221350Z","factsHash":"2e9af2820505060b","factsChangedAt":"2026-10-23T00:00:00.000Z","index":{"robots":"index","basis":"index-all"},"summary":"Kenneth Bernstein, MD (NPI 1366425357) is listed in the NPPES registry with the specialty Family Medicine Physician in Madera, CA, phone (559) 664-4000, as of the registry file of Jun 8, 2026.","identity":{"name":{"id":"name","value":"Kenneth Bernstein","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Kenneth Bernstein under NPI 1366425357, as of the registry file of Jun 8, 2026."},"credential":{"id":"credential","value":"MD","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists the credential MD for Kenneth Bernstein, MD (NPI 1366425357), as of the registry file of Jun 8, 2026."},"specialty":{"id":"specialty","value":"Family Medicine Physician","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Kenneth Bernstein, MD (NPI 1366425357) under the specialty Family Medicine Physician, as of the registry file of Jun 8, 2026."},"registryStage":{"id":"registry-stage","value":"as-listed","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry does not list Kenneth Bernstein, MD (NPI 1366425357) under a training program, as of the registry file of Jun 8, 2026."},"npiIssued":{"id":"npi-issued","value":2005,"status":"confirmed","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry shows NPI 1366425357 (Kenneth Bernstein, MD) issued in 2005, as of the registry file of Jun 8, 2026."},"practiceType":{"id":"practice-type","value":"not-sole-proprietor","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Kenneth Bernstein, MD (NPI 1366425357) as not a sole proprietor, as of the registry file of Jun 8, 2026."}},"location":{"city":{"id":"city","value":"Madera","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists a practice location in Madera for Kenneth Bernstein, MD (NPI 1366425357), as of the registry file of Jun 8, 2026."},"state":{"id":"state","value":"CA","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists a practice location in CA for Kenneth Bernstein, MD (NPI 1366425357), as of the registry file of Jun 8, 2026."}},"contact":{"phone":{"id":"phone","value":"(559) 664-4000","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists (559) 664-4000 as the practice phone for Kenneth Bernstein, MD (NPI 1366425357), as of the registry file of Jun 8, 2026."}},"care":{"newPatients":{"id":"new-patients","value":true,"status":"confirmed","source":"humana-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-23T21:53:28Z","staleAfter":"2027-01-20","confidence":"high","gate":"G4","sentence":"Humana's directory listed Kenneth Bernstein, MD (NPI 1366425357) as taking new patients on Oct 22, 2026."}},"insurance":{"rows":[{"id":"ins-calviva-medi-cal","value":{"payer":"calviva","payerLabel":"CalViva Health","line":"medi-cal","products":["CV CalViva Standard"],"accepts":true,"setting":null},"status":"confirmed","source":"healthnet-fhir-directory","asOf":"2026-10-21","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-19","confidence":"medium","gate":"G3","sentence":"Listed: Health Net's directory listed Kenneth Bernstein, MD (NPI 1366425357) for CalViva Health Medi-Cal plans on Oct 21, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-ccah-medi-cal","value":{"payer":"ccah","payerLabel":"Central California Alliance for Health","line":"medi-cal","products":["IN-NETWORK-2026"],"accepts":true,"setting":null},"status":"confirmed","source":"ccah-fhir-directory","asOf":"2026-10-21","checkedAt":"2026-10-22T14:57:43Z","staleAfter":"2027-04-19","confidence":"high","gate":"G3","sentence":"Listed: Central California Alliance for Health's directory listed Kenneth Bernstein, MD (NPI 1366425357) for Central California Alliance for Health Medi-Cal plans on Oct 21, 2026."},{"id":"ins-cigna-commercial","value":{"payer":"cigna","payerLabel":"Cigna / Evernorth","line":"commercial","products":["CA OAP EXCL LOCALPLUS DIRECT","CALIFORNIA OAP DIRECT","CALIFORNIA PPO-PPA DIRECT"],"accepts":true,"setting":"office"},"status":"confirmed","source":"cigna-fhir-directory","asOf":"2026-09-27","checkedAt":"2026-10-22T21:36:04Z","staleAfter":"2027-03-26","confidence":"high","gate":"G3","sentence":"Listed: Cigna's directory listed Kenneth Bernstein, MD (NPI 1366425357) for Cigna / Evernorth commercial plans on Sep 27, 2026. Gale checked 51 listings in this directory by hand on Oct 22, 2026; 3 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-healthnet-commercial","value":{"payer":"healthnet","payerLabel":"Health Net","line":"commercial","products":["CA Blue and Gold HMO","CA Elect Open Access Large Group","CA Elect Open Access Small Group","CA Large Group HMO","CA Medicare COB HMO","CA Medicare COB Point of Service","CA PPO Large and Small","CA Select I Point of Service"],"accepts":true,"setting":null},"status":"confirmed","source":"healthnet-fhir-directory","asOf":"2026-08-16","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-02-12","confidence":"medium","gate":"G3","sentence":"Listed: Health Net's directory listed Kenneth Bernstein, MD (NPI 1366425357) for Health Net commercial plans on Aug 16, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-healthnet-medi-cal","value":{"payer":"healthnet","payerLabel":"Health Net","line":"medi-cal","products":["Medi-Cal Standard"],"accepts":true,"setting":null},"status":"confirmed","source":"healthnet-fhir-directory","asOf":"2026-10-21","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-19","confidence":"medium","gate":"G3","sentence":"Listed: Health Net's directory listed Kenneth Bernstein, MD (NPI 1366425357) for Health Net Medi-Cal plans on Oct 21, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-humana-medicare-advantage","value":{"payer":"humana","payerLabel":"Humana","line":"medicare-advantage","products":["Natl Medicare HMO/SNP-Travel","Natl Medicare HMO/SNP-Travel27"],"accepts":true,"setting":"office"},"status":"confirmed","source":"humana-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-23T21:53:28Z","staleAfter":"2027-04-20","confidence":"high","gate":"G3","sentence":"Listed: Humana's directory listed Kenneth Bernstein, MD (NPI 1366425357) for Humana Medicare Advantage plans on Oct 22, 2026."},{"id":"ins-kaiser-medi-cal","value":{"payer":"kaiser","payerLabel":"Kaiser Permanente (Medi-Cal)","line":"medi-cal","products":["THE PERMANENTE MEDICAL GROUP"],"accepts":true,"setting":"office"},"status":"confirmed","source":"dhcs-mcp-274-listing","asOf":"2026-04-21","checkedAt":"2026-10-22T14:42:02Z","staleAfter":"2026-08-19","confidence":"medium","gate":"G3","sentence":"Listed: DHCS Medi-Cal plan network listing listed Kenneth Bernstein, MD (NPI 1366425357) for Kaiser Permanente (Medi-Cal) on Apr 21, 2026. The state file is old; Gale found no newer one.","cautions":["stale"],"staleNote":"The state file is old; Gale found no newer one."},{"id":"ins-medi-cal-ffs-medi-cal","value":{"payer":"medi-cal-ffs","payerLabel":"Medi-Cal fee-for-service","line":"medi-cal","products":["Medi-Cal FFS"],"accepts":true,"setting":null},"status":"confirmed","source":"dhcs-ffs-enrolled-2026-10-19","asOf":"2026-10-19","checkedAt":"2026-10-22T14:41:40Z","staleAfter":"2027-02-16","confidence":"high","gate":"G3","sentence":"Listed: DHCS Medi-Cal fee-for-service enrolment file listed Kenneth Bernstein, MD (NPI 1366425357) for Medi-Cal fee-for-service on Oct 19, 2026."},{"id":"ins-medicare-medicare","value":{"payer":"medicare","payerLabel":"Original Medicare","line":"medicare","products":["Medicare Part B"],"accepts":true,"setting":"office"},"status":"confirmed","source":"cms-medicare-clinicians","asOf":"2026-10-02","checkedAt":"2026-10-22T14:36:32Z","staleAfter":"2027-01-30","confidence":"high","gate":"G3","sentence":"Listed: CMS Medicare clinicians file listed Kenneth Bernstein, MD (NPI 1366425357) for Original Medicare on Oct 2, 2026. Gale checked 23 listings in this file by hand on Oct 22, 2026; none were wrong."},{"id":"ins-uhc-commercial","value":{"payer":"uhc","payerLabel":"UnitedHealthcare","line":"commercial","products":["CalPERS SignatureValue Alliance","Choice","Choice Plus","Choice Plus HMO Premier","Core Essential","Core HMO/Core Essential HMO","Doctors Plan","Doctors Plan HMO/Doctors Plan Plus HMO"],"accepts":true,"setting":"office"},"status":"confirmed","source":"uhc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-20","confidence":"medium","gate":"G3","sentence":"Listed: UnitedHealthcare's directory listed Kenneth Bernstein, MD (NPI 1366425357) for UnitedHealthcare commercial plans on Oct 22, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-uhc-medicare-advantage","value":{"payer":"uhc","payerLabel":"UnitedHealthcare","line":"medicare-advantage","products":["AARP Medicare Advantage from UHC CA-0005 (HMO-POS)","AARP Medicare Advantage from UHC CA-0008 (HMO-POS)","AARP Medicare Advantage from UHC CA-0010 (HMO-POS)","UnitedHealthcare Group Medicare Advantage (HMO)","UnitedHealthcare Group Medicare Advantage (PPO)"],"accepts":true,"setting":"office"},"status":"confirmed","source":"uhc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-20","confidence":"medium","gate":"G3","sentence":"Listed: UnitedHealthcare's directory listed Kenneth Bernstein, MD (NPI 1366425357) for UnitedHealthcare Medicare Advantage plans on Oct 22, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-va-va","value":{"payer":"va","payerLabel":"VA Community Care","line":"va","products":["VA Community Care Network (Region 4, TriWest)"],"accepts":true,"setting":"office"},"status":"confirmed","source":"va-ccn-vagov-locator-2026-10","asOf":"2026-10-22","checkedAt":"2026-10-22T19:49:10Z","staleAfter":"2027-04-20","confidence":"high","gate":"G3","sentence":"Listed: VA's community care locator listed Kenneth Bernstein, MD (NPI 1366425357) for VA Community Care on Oct 22, 2026."},{"id":"ins-healthnet-medicare-advantage","value":{"payer":"healthnet","payerLabel":"Wellcare by Health Net","line":"medicare-advantage","products":["CA Medicare Employer Group","Medicare Advantage Risk","SNP MAPD HMO"],"accepts":true,"setting":null},"status":"confirmed","source":"healthnet-fhir-directory","asOf":"2026-10-21","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-19","confidence":"medium","gate":"G3","sentence":"Listed: Health Net's directory listed Kenneth Bernstein, MD (NPI 1366425357) for Wellcare by Health Net Medicare Advantage plans on Oct 21, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-anthem-commercial","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"commercial","products":["CA ASH ACUPUNCTURE","CA DIGNITY HEALTH ECHW","CA EPO BLUE CONNECTION","CA EPO HIGH PERFORMANCE","CA EPO HIGH PERFORMANCE FALL-THRU MIX F","CA EPO USC TIER 1","CA HMO ADVANTAGE","CA HMO ADVANTAGE PLUS CC55"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Kenneth Bernstein, MD (NPI 1366425357) for commercial plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-marketplace","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"marketplace","products":["CA EPO Pathway","CA HMO Pathway"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Kenneth Bernstein, MD (NPI 1366425357) for individual and family plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-workers-comp","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"workers-comp","products":["CA WORKERS COMP PERCENTAGE","CA WORKERS COMP WC06","CA WORKERS COMPENSATION"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Kenneth Bernstein, MD (NPI 1366425357) for workers' compensation (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-bsc-commercial","value":{"payer":"bsc","payerLabel":"Blue Shield of California","line":"commercial","products":["1001_No vendor cap;  PPO and  OOS PPO, SA","1003_MLG PPO DOI","1004_MLG PPO DMHC","1005_PPO DMHC","1012_OOS PPO DMHC","1013_Commercial HMO","1015_ML Access+ HMO CAP","1016_ML Access+ HMO CAP"],"accepts":null,"setting":null},"status":"inferred","source":"blueshield-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:02Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Blue Shield of California's price file suggests Blue Shield of California pays Kenneth Bernstein, MD (NPI 1366425357) for commercial plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-bsc-marketplace","value":{"payer":"bsc","payerLabel":"Blue Shield of California","line":"marketplace","products":["1009_IFP PPO DOI","1224_IFP ACO HMO","1228_IFP ACO HMO AI/AN"],"accepts":null,"setting":null},"status":"inferred","source":"blueshield-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:02Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Blue Shield of California's price file suggests Blue Shield of California pays Kenneth Bernstein, MD (NPI 1366425357) for individual and family plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-ahf-medi-cal","value":null,"status":"not-listed","source":"ahf-fhir-directory","asOf":"2026-09-19","checkedAt":"2026-10-22T14:57:40Z","staleAfter":"2027-03-18","confidence":"low","gate":"G3","sentence":"Not listed by AIDS Healthcare Foundation (PHP) Medi-Cal plans for Kenneth Bernstein, MD (NPI 1366425357) in AIDS Healthcare Foundation (PHP)'s directory, file of Sep 19, 2026. That is not a no.","checkedSources":[{"source":"ahf-fhir-directory","asOf":"2026-09-19"}]},{"id":"ins-ahf-medicare-advantage","value":null,"status":"not-listed","source":"ahf-fhir-directory","asOf":"2026-09-15","checkedAt":"2026-10-22T14:57:40Z","staleAfter":"2027-03-14","confidence":"low","gate":"G3","sentence":"Not listed by AIDS Healthcare Foundation (PHP) Medicare Advantage plans for Kenneth Bernstein, MD (NPI 1366425357) in AIDS Healthcare Foundation (PHP)'s directory, file of Sep 15, 2026. That is not a no.","checkedSources":[{"source":"ahf-fhir-directory","asOf":"2026-09-15"}]},{"id":"ins-bsc-medi-cal","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California Promise Health Plan Medi-Cal plans for Kenneth Bernstein, MD (NPI 1366425357) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-bsc-medicare-advantage","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California Medicare Advantage plans for Kenneth Bernstein, MD (NPI 1366425357) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-caloptima-medi-cal","value":null,"status":"not-listed","source":"caloptima-fhir-directory","asOf":"2026-10-11","checkedAt":"2026-10-22T21:38:03Z","staleAfter":"2027-04-09","confidence":"low","gate":"G3","sentence":"Not listed by CalOptima Health Medi-Cal plans for Kenneth Bernstein, MD (NPI 1366425357) in CalOptima Health's directory, file of Oct 11, 2026. That is not a no.","checkedSources":[{"source":"caloptima-fhir-directory","asOf":"2026-10-11"}]},{"id":"ins-goldcoast-medi-cal","value":null,"status":"not-listed","source":"goldcoast-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T14:57:24Z","staleAfter":"2027-04-07","confidence":"low","gate":"G3","sentence":"Not listed by Gold Coast Health Plan Medi-Cal plans for Kenneth Bernstein, MD (NPI 1366425357) in Gold Coast Health Plan's directory, file of Oct 9, 2026. That is not a no.","checkedSources":[{"source":"goldcoast-fhir-directory","asOf":"2026-10-09"}]},{"id":"ins-healthnet-marketplace","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Ambetter from Health Net individual and family plans for Kenneth Bernstein, MD (NPI 1366425357) in Health Net's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-hpsj-medi-cal","value":null,"status":"not-listed","source":"hpsj-fhir-directory","asOf":"2026-10-02","checkedAt":"2026-10-22T21:41:38Z","staleAfter":"2027-03-31","confidence":"low","gate":"G3","sentence":"Not listed by Health Plan of San Joaquin Medi-Cal plans for Kenneth Bernstein, MD (NPI 1366425357) in Health Plan of San Joaquin's directory, file of Oct 2, 2026. That is not a no.","checkedSources":[{"source":"hpsj-fhir-directory","asOf":"2026-10-02"}]},{"id":"ins-iehp-marketplace","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-07-27","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-23","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) individual and family plans for Kenneth Bernstein, MD (NPI 1366425357) in Inland Empire Health Plan (IEHP)'s directory, file of Jul 27, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-07-27"}]},{"id":"ins-iehp-medi-cal","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-07-29","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-25","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) Medi-Cal plans for Kenneth Bernstein, MD (NPI 1366425357) in Inland Empire Health Plan (IEHP)'s directory, file of Jul 29, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-07-29"}]},{"id":"ins-iehp-medicare-advantage","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-10-16","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-04-14","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) Medicare Advantage plans for Kenneth Bernstein, MD (NPI 1366425357) in Inland Empire Health Plan (IEHP)'s directory, file of Oct 16, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-10-16"}]},{"id":"ins-kern-medi-cal","value":null,"status":"not-listed","source":"kern-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T15:04:08Z","staleAfter":"2027-04-07","confidence":"low","gate":"G3","sentence":"Not listed by Kern Family Health Care Medi-Cal plans for Kenneth Bernstein, MD (NPI 1366425357) in Kern Family Health Care's directory, file of Oct 9, 2026. That is not a no.","checkedSources":[{"source":"kern-fhir-directory","asOf":"2026-10-09"}]},{"id":"ins-lacare-medi-cal","value":null,"status":"not-listed","source":"lacare-fhir-directory","asOf":"2026-10-19","checkedAt":"2026-10-22T15:06:55Z","staleAfter":"2027-04-17","confidence":"low","gate":"G3","sentence":"Not listed by L.A. Care Health Plan Medi-Cal plans for Kenneth Bernstein, MD (NPI 1366425357) in L.A. Care Health Plan's directory, file of Oct 19, 2026. That is not a no.","checkedSources":[{"source":"lacare-fhir-directory","asOf":"2026-10-19"}]},{"id":"ins-optum-medicare-advantage","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by Optum Behavioral Health Medicare Advantage plans for Kenneth Bernstein, MD (NPI 1366425357) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-partnership-medi-cal","value":null,"status":"not-listed","source":"partnership-fhir-directory","asOf":"2026-10-16","checkedAt":"2026-10-22T21:38:25Z","staleAfter":"2027-04-14","confidence":"low","gate":"G3","sentence":"Not listed by Partnership HealthPlan of California Medi-Cal plans for Kenneth Bernstein, MD (NPI 1366425357) in Partnership HealthPlan of California's directory, file of Oct 16, 2026. That is not a no.","checkedSources":[{"source":"partnership-fhir-directory","asOf":"2026-10-16"}]},{"id":"ins-sfhp-medi-cal","value":null,"status":"not-listed","source":"sfhp-fhir-directory","asOf":"2026-10-01","checkedAt":"2026-10-22T14:56:20Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3","sentence":"Not listed by San Francisco Health Plan Medi-Cal plans for Kenneth Bernstein, MD (NPI 1366425357) in San Francisco Health Plan's directory, file of Oct 1, 2026. That is not a no.","checkedSources":[{"source":"sfhp-fhir-directory","asOf":"2026-10-01"}]},{"id":"ins-uhc-marketplace","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by UnitedHealthcare individual and family plans for Kenneth Bernstein, MD (NPI 1366425357) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-uhc-medi-cal","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by UnitedHealthcare Medi-Cal plans for Kenneth Bernstein, MD (NPI 1366425357) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]}],"coverage":{"state":"CA","covered":true,"checkedAt":"2026-10-23T22:13:50Z"}},"publicRecord":{},"claim":{"claimed":false,"identityConfirmedOn":null},"actions":{"call":"tel:+15596644000","book":null,"payDoor":null,"saveContact":"/npi/1366425357.vcf","intent":null},"hiddenFacts":[],"answers":[{"q":"new-patients","status":"confirmed","answer":"Humana's directory listed Kenneth Bernstein, MD (NPI 1366425357) as taking new patients on Oct 22, 2026.","factIds":["new-patients"]},{"q":"insurance","status":"confirmed","answer":"Listed for Kenneth Bernstein, MD (NPI 1366425357): CalViva Health, Medi-Cal (Oct 21, 2026); Central California Alliance for Health, Medi-Cal (Oct 21, 2026); Cigna / Evernorth, commercial (Sep 27, 2026); Health Net, commercial (Aug 16, 2026); Health Net, Medi-Cal (Oct 21, 2026); and 8 more on the page. Each listing names its source and date.","factIds":["ins-calviva-medi-cal","ins-ccah-medi-cal","ins-cigna-commercial","ins-healthnet-commercial","ins-healthnet-medi-cal","ins-humana-medicare-advantage","ins-kaiser-medi-cal","ins-medi-cal-ffs-medi-cal","ins-medicare-medicare","ins-uhc-commercial","ins-uhc-medicare-advantage","ins-va-va","ins-healthnet-medicare-advantage"]},{"q":"cost","status":"unknown","answer":"Gale has no record of what a first visit with Kenneth Bernstein, MD (NPI 1366425357) costs. Paying yourself? You can ask for a written Good Faith Estimate before the visit.","factIds":[]},{"q":"video","status":"unknown","answer":"Gale has no record of whether Kenneth Bernstein, MD (NPI 1366425357) offers video visits. Ask the office.","factIds":[]},{"q":"where","status":"self-reported","answer":"Kenneth Bernstein, MD (NPI 1366425357) is listed in Madera, CA by the NPPES registry, as of the registry file of Jun 8, 2026.","factIds":["city","state"]},{"q":"who-they-see","status":"unknown","answer":"Gale has no record of who Kenneth Bernstein, MD (NPI 1366425357) sees. Ask the office.","factIds":[]},{"q":"help-with","status":"unknown","answer":"Gale has no record of what Kenneth Bernstein, MD (NPI 1366425357) helps with beyond the registry specialty. Ask the office.","factIds":[]},{"q":"languages","status":"unknown","answer":"Gale has no record of the languages Kenneth Bernstein, MD (NPI 1366425357) speaks. Ask the office.","factIds":[]},{"q":"how-to-book","status":"self-reported","answer":"Call (559) 664-4000, the practice phone the NPPES registry lists for Kenneth Bernstein, MD (NPI 1366425357) (Jun 8, 2026).","factIds":["phone"]},{"q":"next-opening","status":"unknown","answer":"Gale has no record of the next opening for Kenneth Bernstein, MD (NPI 1366425357). Ask the office.","factIds":[]}],"sources":[{"id":"nppes-registry","name":"NPPES registry (CMS)","kind":"registry","asserting":true,"fileDate":"2026-06-08","url":"https://npiregistry.cms.hhs.gov/provider-view/1366425357","handCheck":null},{"id":"ahf-fhir-directory","name":"AIDS Healthcare Foundation (PHP)'s directory","kind":"directory","asserting":true,"fileDate":"2026-09-19","url":null,"handCheck":null},{"id":"anthem-tic-2026-10","name":"Anthem Blue Cross's price file","kind":"price-file","asserting":false,"fileDate":"2026-10-01","url":null,"handCheck":{"wrong":8,"checked":11,"at":"2026-10-22"}},{"id":"blueshield-tic-2026-10","name":"Blue Shield of California's price file","kind":"price-file","asserting":false,"fileDate":"2026-10-01","url":null,"handCheck":null},{"id":"bsc-fhir-directory","name":"Blue Shield of California's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":23,"checked":60,"at":"2026-10-22"}},{"id":"caloptima-fhir-directory","name":"CalOptima Health's directory","kind":"directory","asserting":true,"fileDate":"2026-10-11","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"ccah-fhir-directory","name":"Central California Alliance for Health's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":null},{"id":"cigna-fhir-directory","name":"Cigna's directory","kind":"directory","asserting":false,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":3,"checked":51,"at":"2026-10-22"}},{"id":"cms-medicare-clinicians","name":"CMS Medicare clinicians file","kind":"cms-file","asserting":true,"fileDate":"2026-10-02","url":null,"handCheck":{"wrong":0,"checked":23,"at":"2026-10-22"}},{"id":"dhcs-ffs-enrolled-2026-10-19","name":"DHCS Medi-Cal fee-for-service enrolment file","kind":"state-file","asserting":true,"fileDate":"2026-10-19","url":null,"handCheck":null},{"id":"dhcs-mcp-274-listing","name":"DHCS Medi-Cal plan network listing","kind":"state-file","asserting":true,"fileDate":"2026-04-21","url":null,"handCheck":null},{"id":"goldcoast-fhir-directory","name":"Gold Coast Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-09","url":null,"handCheck":null},{"id":"healthnet-fhir-directory","name":"Health Net's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":6,"checked":12,"at":"2026-10-22"}},{"id":"hpsj-fhir-directory","name":"Health Plan of San Joaquin's directory","kind":"directory","asserting":true,"fileDate":"2026-10-02","url":null,"handCheck":null},{"id":"humana-fhir-directory","name":"Humana's directory","kind":"directory","asserting":true,"fileDate":"2026-10-23","url":null,"handCheck":null},{"id":"iehp-fhir-directory","name":"Inland Empire Health Plan (IEHP)'s directory","kind":"directory","asserting":true,"fileDate":"2026-10-16","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"kern-fhir-directory","name":"Kern Family Health Care's directory","kind":"directory","asserting":true,"fileDate":"2026-10-09","url":null,"handCheck":null},{"id":"lacare-fhir-directory","name":"L.A. Care Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-19","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"partnership-fhir-directory","name":"Partnership HealthPlan of California's directory","kind":"directory","asserting":true,"fileDate":"2026-10-16","url":null,"handCheck":null},{"id":"sfhp-fhir-directory","name":"San Francisco Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-01","url":null,"handCheck":null},{"id":"uhc-fhir-directory","name":"UnitedHealthcare's directory","kind":"directory","asserting":true,"fileDate":"2026-10-23","url":null,"handCheck":{"wrong":6,"checked":12,"at":"2026-10-22"}},{"id":"va-ccn-vagov-locator-2026-10","name":"VA's community care locator","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":null}],"terms":"https://www.gale.care/agents#terms","about":{"status":"How each fact is known. confirmed = Listed: a named directory, CMS file or state file lists it. inferred = Likely: a price file suggests it; a likely match is a lead, not a listing. self-reported: the clinician said it, to the NPPES registry or on Gale. not-listed: a source that lists every clinician it covers was read and does not list this one; that is not a no. unknown: no record; ask the office.","sentence":"The fact in one sentence that names the clinician, the NPI, the source and the date. It starts with the status word. Quote it whole.","asOf":"The date the source gives this record (YYYY-MM-DD). It is not the date of the event the record describes: an opt-out states its own start and end dates in its sentence.","checkedAt":"When Gale last read the source.","staleAfter":"After this date the fact keeps its status word and date, and staleNote says the record is old; later still it is dropped. A fact from a full CMS or state file the publisher has not replaced stays, marked stale, for as long as that file is the newest one, and its staleNote says Gale found no newer file.","staleNote":"On a fact past its fresh window only: the record's age, as its own sentence (\"The state file is old; Gale found no newer one.\"). It never changes the status.","confidence":"How far Gale trusts the source, measured on the source (high, medium, low, none). Never a judgment of the clinician.","cautions":"hand-check: Gale checked a sample of this source by hand and found errors (sources[].handCheck has the numbers). conflict: another source disagrees (see conflict). stale: the record is past its fresh window. A caution never changes the status.","gate":"The publication switch that lets this kind of fact show. It says nothing about the clinician.","checkedSources":"For a not-listed fact: each source that was read, with its date.","insurance.rows[].value":"payer is a short id for the plan and payerLabel its name. line is the kind of plan: commercial, marketplace (individual and family), medicare, medicare-advantage, medi-cal, tricare, va, workers-comp. accepts is true on a listing and false only on a dated refusal (a directory's \"not accepting\" or an opt-out), never from absence; on a lead (status inferred) it is null, because a price file never says a clinician accepts a plan. optOut, on an Original Medicare opt-out, is the opt-out's own start and end dates (from, to) from CMS's opt-out list. setting is where the listing says care happens (office, virtual, both), or null when the source does not say.","insurance.coverage":"covered: whether Gale read the insurance files for this state; checkedAt: when it last did.","sources[].kind":"registry: the NPPES registry. cms-file, state-file: government files. directory: an insurer's directory. price-file: an insurer's published rates, which give leads only. gale: Gale's booking system. clinician: the clinician on Gale.","sources[].fileDate":"The date of the source file Gale read.","sources[].handCheck":"Gale's hand check of the source: checked is how many of its entries Gale checked by hand, wrong how many of those were wrong, at the date of the check. It describes the source, not this clinician.","sources[].asserting":"true when the source lists every clinician it covers, so its silence can support a not-listed fact. Only such sources ever do.","factsHash":"Changes only when a fact changes, never on a re-check.","index.basis":"Why the page is or is not indexed. index-all: indexed. Anything else: not indexed, and no reason about the clinician is given.","exportId":"The data export the facts come from.","hiddenFacts":"Facts withheld because someone disputed them. No reason is given."}}