NPIMap

Organization Active NPI

Anthony Becerra Management Company

  • Chiropractor
  • Murrieta, CA
National Provider Identifier
1033555602
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 26181 Issued in CA
Legal business name
ANTHONY BECERRA MANAGEMENT COMPANY
Doing business as
Pure Chiropractic
Practice address
25136 Hancock Ave Ste C
Murrieta, CA 92562-0905
Phone
(951) 461-4617
Fax
(951) 461-1403
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Dr. Anthony Becerra, D.C.NPI 1780764969
Title
Owner
Phone
(951) 461-4617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 26181 CA Primary

Addresses

Primary practice location

25136 Hancock Ave Ste C
Murrieta, CA 92562-0905

Mailing address

25136 Hancock Ave Ste C
Murrieta, CA 92562-0905
Phone (951) 461-4617

Other names 1

  • Pure Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131219000245 CA Part B Supplier - Clinic/Group Practice 7012144090 Receives reassigned benefits from 1 practitioner
Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory
Tax ID family
Anthony Becerra Management Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25136 Hancock Ave
Ste C
Murrieta, CA 92562
Phone (951) 461-4617

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1033555602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25136 HANCOCK AVE STE C",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925620905",
            "telephone_number": "951-461-4617",
            "fax_number": "951-461-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25136 HANCOCK AVE STE C",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925620905",
            "telephone_number": "951-461-4617",
            "fax_number": "951-461-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY BECERRA MANAGEMENT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "BECERRA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-461-4617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 26181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.