Individual provider Active NPI

Daniel John Bebereia, M.D.

  • Anesthesiology Physician
  • La Mesa, CA
National Provider Identifier
1225265481
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A115593 Issued in CA
Practice address
8893 La Mesa Blvd
Ste D
La Mesa, CA 91942-5448
Phone
(619) 460-5111
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X A115593 CA Primary

Addresses

Primary practice location

8893 La Mesa Blvd
Ste D
La Mesa, CA 91942-5448

Mailing address

22 Running Brook Dr
Coto de Caza, CA 92679-5221
Phone (949) 293-9304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130708000123 CA Practitioner - Anesthesiology 5193965648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Eastern Virginia Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Anesthesia Medical Associates Inc 49 clinicians

Practice addresses (Care Compare)

27700 Medical Ctr Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-1400

31872 Coast Hwy
Laguna Beach, CA 92651-6773
Phone (949) 499-1311

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Anesthesia Medical Associates Inc Anesthesiology CurrentSince Mar 27, 2015 Accepting new patients

Locations

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

25211 Paseo de Alicia
Ste 100
Laguna Hills, CA 92653
Phone (949) 900-3480

23025 Mill Creek Dr
Ste 203
Laguna Hills, CA 92653

26371 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 348-0544

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

26730 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 364-2201

26921 Crown Valley Pkwy
Ste 200
Mission Viejo, CA 92691
Phone (949) 334-8160

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1225265481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RUNNING BROOK DR",
            "city": "COTO DE CAZA",
            "state": "CA",
            "postal_code": "926795221",
            "telephone_number": "949-293-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8893 LA MESA BLVD",
            "address_2": "STE D",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425448",
            "telephone_number": "619-460-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBEREIA",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A115593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.