Organization Active NPI

John J Becchetti MD Inc

  • Surgery Physician
  • Oakland, CA
National Provider Identifier
1184846909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C28615 Issued in CA
Legal business name
JOHN J BECCHETTI MD INC
Practice address
3300 Webster St
Ste 201
Oakland, CA 94609
Phone
(510) 834-7421
Fax
(510) 834-7426
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Joseph Becchetti, MD
Title
Surgeon
Phone
(510) 834-7421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X C28615 CA Primary

Addresses

Primary practice location

3300 Webster St
Ste 201
Oakland, CA 94609

Mailing address

3300 Webster St
Ste 201
Oakland, CA 94609
Phone (510) 834-7421

Other identifiers 1

IdentifierTypeStateIssuer
00C286150MedicaidCA

Other names 1

  • John J Becchetti MD Other name

National Provider Directory

National Provider Directory

Locations

3300 Webster St
Ste 201
Oakland, CA 94609
Phone (510) 834-7421

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184846909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "address_2": "STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-834-7421",
            "fax_number": "510-834-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "address_2": "STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-834-7421",
            "fax_number": "510-834-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J BECCHETTI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECCHETTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "510-834-7421",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "C28615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C286150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John J Becchetti MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.