NPIMap

Individual provider Active NPI

Etleva Bejko, M.D.

  • Rheumatology Physician
  • Vista, CA
National Provider Identifier
1164804431
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A169155 Issued in CA
Practice address
2023 W Vista Way Ste H
Vista, CA 92083-6030
Phone
(760) 724-5800
NPI assigned
Jun 23, 2015
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A169155 CA Primary

Addresses

Primary practice location

2023 W Vista Way Ste H
Vista, CA 92083-6030

Mailing address

2023 W Vista Way Ste H
Vista, CA 92083-6030
Phone (216) 861-6200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address etleva.bejkomd.p1@direct.acnc.nextgenshare.com
Direct Messaging Address etleva.bejkomd.p1@direct.acnc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200723000701 CA Practitioner - Rheumatology 7810311883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3998 Vista Way
Suite E
Oceanside, CA 92056-4514
Phone (760) 724-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A169155CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates-Ca PC Rheumatology CurrentSince Aug 2, 2020 Accepting new patients
Arthritis Consultants of North County a Professional Corporation CurrentSince Sep 1, 2020 Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

3998 Vista Way
Ste E
Oceanside, CA 92056
Phone (760) 295-9830

2023 W Vista Way
Ste H
Vista, CA 92083
Phone (760) 724-5800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1164804431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE H",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "216-861-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE H",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "760-724-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJKO",
        "first_name": "ETLEVA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2023-02-07",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A169155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "etleva.bejkomd.p1@direct.acnc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2023 W Vista Way Ste H",
            "city": "Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920836030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "etleva.bejkomd.p1@direct.acnc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2023 W Vista Way Ste H",
            "city": "Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920836030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.