Bethel Averbeck MD a Professional Medical Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BETHEL AVERBECK MD A PROFESSIONAL MEDICAL CORPORATION

Doing business as

virtuwell

Practice address

400 Capitol Mall
22ND Floor
Sacramento, CA 95814-4407

Phone

(877) 440-1001

Fax

(651) 265-1800

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Kevin J Pallatao

Title

VP

Phone

(952) 883-5348

Specialties & licenses 1

Addresses

Other names 1

• virtuwell Doing business as

Locations

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1093184244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MAILSTOP 21110R",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-883-7469",
            "fax_number": "952-883-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAPITOL MALL",
            "address_2": "22ND FLOOR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958144407",
            "telephone_number": "877-440-1001",
            "fax_number": "651-265-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL AVERBECK MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "PALLATAO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "952-883-5348"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "virtuwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fabio Eugenio Besu Pastor
• Maria I Betancourt, PA
• Natalia Abreu Betancourt
• Adam A Betcher, MD
• Jenna Bethancourt, MFT
• Chloe Bethencourt
• Haley Claire Betschart
• Caitlyn Kristine Bettencourt, RN
• Dale Anthony Bettencourt, RD
• Haylee Bettencourt, MD

• Multi-Specialty Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.