Active NPI
Christopher Randolph Betts, MD
- General Practice Physician
- Covina, CA
National Provider Identifier
1235578428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301116648
- Practice address
- 274 W Badillo St
Covina, CA 91723-1906 - Phone
- (626) 331-7369
- Fax
- (626) 967-9869
- NPI assigned
- Jun 20, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35977 | SC | |
| Adult Medicine Physician | 207QA0505X | 4301116648 | MI | |
| General Practice Physician | 208D00000X | 4301116648 | MI | Primary |
Addresses
Primary practice location
274 W Badillo St
Covina, CA 91723-1906
Mailing address
274 W Badillo St
Covina, CA 91723-1906
Phone (626) 331-7369
Other practice location 1
701 Grove Rd
Greenville, SC 29605-5611
Phone (864) 455-9022
Other names 1
- Mr. Chris Randolph Betts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35977 | SC | MD | Family Medicine Physician |
| 4301116648 | MI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1235578428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917231906",
"telephone_number": "626-331-7369",
"fax_number": "626-967-9869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917231906",
"telephone_number": "626-331-7369",
"fax_number": "626-967-9869"
}
],
"practiceLocations": [
{
"address_1": "701 Grove Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296055611",
"country_code": "US",
"telephone_number": "864-455-9022",
"fax_number": "864-455-9016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETTS",
"first_name": "CHRISTOPHER",
"middle_name": "RANDOLPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-20",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "35977",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MI",
"license": "4301116648",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301116648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRIS",
"last_name": "BETTS",
"middle_name": "RANDOLPH",
"prefix": "MR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.