Philip Becker, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A3649 Issued in CA

Practice address

78822 Highway 111
La Quinta, CA 92253-2046

Phone

(760) 564-7000

Fax

(760) 328-2191

NPI assigned

Jul 18, 2006

Last updated

Sep 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: philip.becker.p5@direct.mydohc.nextgenshare.com

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.

• Mirage Medical Group

  • Specialist
  • Rancho Mirage, CA
  • NPI 1528208758
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1225057862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S PASEO DOROTEA",
            "address_2": "SUITE 2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641434",
            "telephone_number": "760-320-4431",
            "fax_number": "760-416-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78822 HIGHWAY 111",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532046",
            "telephone_number": "760-564-7000",
            "fax_number": "760-328-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A3649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Dale Baty, PHARMD
• Cristobal Cristian Bautista, RD
• Mark J Bayer, M.D.
• BB Medical Group, PC (Baikie Bianchi Family Medicine)
• Ronald Ned Beams, M.D.
• Angelica Paola Beltran-Renteria, LCSW
• Beltreria & Associates Licensed Clinical Social Worker, Apc
• Beneath the Surface Therapy
• Cory Joseph Berkeley, DPT
• Edward A. Beron, M.D.

• General Practice Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.