Active NPI
Kevin Paul Becker, MD
- Specialist
- Santa Ana, CA
National Provider Identifier
1114960788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G52913
- Practice address
- 555 Parkcenter Dr
Suite 102
Santa Ana, CA 92705-3521 - Phone
- (714) 973-2650
- Fax
- (714) 973-2655
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G52913 | CA | Primary |
Addresses
Primary practice location
555 Parkcenter Dr
Suite 102
Santa Ana, CA 92705-3521
Mailing address
PO Box 2757
Orange, CA 92859-0757
Phone (714) 973-2650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G52913 | CA | MD | Specialist |
| 52913 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1114960788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2757",
"city": "ORANGE",
"state": "CA",
"postal_code": "928590757",
"telephone_number": "714-973-2650",
"fax_number": "714-973-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 PARKCENTER DR",
"address_2": "SUITE 102",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053521",
"telephone_number": "714-973-2650",
"fax_number": "714-973-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "KEVIN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G52913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.