Robert John Becker, DC
Individual provider Active NPI Chiropractor · Morro Bay, CA
NPI 1154495943 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154495943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 16768 (CA)
- Practice address
- 580 Harbor St
Morro Bay, CA 93442-1904 - Phone
- (805) 772-2737
- Fax
- (805) 772-2738
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
580 Harbor St
Morro Bay, CA 93442-1904
Phone (805) 550-2391
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071009000950 | CA | Practitioner - Chiropractic | 6103912928 | Practice locations: Morro Bay, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16768 | CA | Yes |
Addresses
Primary practice location
580 Harbor St
Morro Bay, CA 93442-1904
Mailing address
580 Harbor St
Morro Bay, CA 93442-1904
Phone (805) 772-2737
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16768 | Other | CA | CA LICENSE |
Other providers in Morro Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.