Organization Active NPI

Becka Healthcare Medical Group

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1013076496
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G045159 Issued in CA
Legal business name
BECKA HEALTHCARE MEDICAL GROUP
Practice address
1127 Wilshire Blvd Ste 1000
Los Angeles, CA 90017-4001
Phone
(213) 241-0901
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Myron Wade Bethel, M.D.
Title
Managing Partner
Phone
(213) 241-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G045159 CA Primary

Addresses

Primary practice location

1127 Wilshire Blvd Ste 1000
Los Angeles, CA 90017-4001

Mailing address

1127 Wilshire Blvd Ste 1000
Los Angeles, CA 90017-4001

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1013076496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174001",
            "telephone_number": "213-241-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKA HEALTHCARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "BETHEL",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "213-241-0901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G045159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.