Individual provider Active NPI

Arnaldo Armando Beron, RT

  • Radiography Radiologic Technologist
  • Escondido, CA
National Provider Identifier
1063773273
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
CRT 77181 Issued in FL
Practice address
619 S Midway Dr
Escondido, CA 92027-4003
Phone
(954) 515-7080
Fax
(954) 734-6399
NPI assigned
Jun 5, 2012
Last updated
Mar 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X CRT 77181 FL Primary

Addresses

Primary practice location

619 S Midway Dr
Escondido, CA 92027-4003

Mailing address

619 S Midway Dr
Escondido, CA 92027-4003
Phone (954) 515-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CRT 77181FLMDRadiography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bersa Mobile X Ray & Ultrasound Inc. Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1063773273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S MIDWAY DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920274003",
            "telephone_number": "954-515-7080",
            "fax_number": "954-734-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S MIDWAY DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920274003",
            "telephone_number": "954-515-7080",
            "fax_number": "954-734-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERON",
        "first_name": "ARNALDO",
        "middle_name": "ARMANDO",
        "name_prefix": "Mr.",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "FL",
            "license": "CRT 77181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.