Active NPI
Daniel John Bebereia, M.D.
- Anesthesiology Physician
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A115593
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Anesthesia Medical Associates Inc | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Mission Viejo, CA
- NPI 1497796320
Anesthesiology, CA
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
Hospital
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.