Candice Behm, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

52855 Issued in CA

Practice address

819 Auto Center Dr
Palmdale, CA 93551-4599

Phone

(661) 267-6876

NPI assigned

Jan 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Candice Pellerin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1255878666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 AUTO CENTER DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514599",
            "telephone_number": "661-267-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 AUTO CENTER DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514599",
            "telephone_number": "661-267-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHM",
        "first_name": "CANDICE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52855",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "PELLERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Althea Mae Bontilao Bazar, PT
• Malena Giana Beard I, NONE
• Magdy Aziz Kerollos Bebawy, O.D
• Dennis Beglaryan, D.O.
• Alexis Abigail Begue, LMFT
• Estefany J Bejarano
• Erica Lynn Bell, MSN, NP-C
• Jessica Bellenkes-Gonzalez, SLP
• Ramiro Beltran Vences
• Jose Beltran III

• Physician Assistant in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.