Daniel M.Bethencourt, M.D., Inc.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

C41588 Issued in CA

Legal business name

DANIEL M.BETHENCOURT, M.D., INC.

Practice address

2865 Atlantic Ave
Suite 205
Long Beach, CA 90806-1740

Phone

(562) 988-9333

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Trudy Mackel

Title

Office Administrator

Phone

(562) 988-9333

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Miguel Bethencourt, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Long Beach, CA
  • NPI 1437163904
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235286014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "SUITE 205",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061740",
            "telephone_number": "562-988-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "SUITE 205",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061740",
            "telephone_number": "562-988-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL M.BETHENCOURT, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACKEL",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "562-988-9333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C41588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tuyet Danh
• Bryceton N. Danico, LCSW
• Daniel Feldman DDS Inc
• Daniel K. Tang D.D.S. Inc
• Daniel M Zinar MD Inc
• Shaniqa Latavia Daniel, PMHNP
• Taylor Sarah Daniel
• Danielle Daniels
• Ethel Daniels, MFT
• Kianna Daniels, DOULA

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• 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.