Alexander Joaquin Betetta

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5220 W Washington Blvd Ste 101
Los Angeles, CA 90016-1331

Phone

(323) 933-9186

Fax

(323) 933-7146

NPI assigned

Aug 27, 2019

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)

Not enrolled

Practice roles

Locations

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.

• Clare Matrix

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
  • NPI 1235349267
  NPD

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1225686926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 30TH ST STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053051",
            "telephone_number": "310-314-6200",
            "fax_number": "310-450-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 W WASHINGTON BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161331",
            "telephone_number": "323-933-9186",
            "fax_number": "323-933-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETETTA",
        "first_name": "ALEXANDER",
        "middle_name": "JOAQUIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Betancourt, M.D.
• Karolina Betancourt
• Lorenzo Betancourt
• Trinidad Betancourt
• Madison Betcher, MD
• Beth Medical Clinic
• Dedra F Bethany-Fulcher, LCSW
• Bethel Eye Center Medical Corporation
• Bethel Los Angeles Community Development Corporation
• Bethesda Health Group, Inc.

• Case Manager/Care Coordinator in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.