Bembi Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A13585 Issued in CA

Legal business name

BEMBI MEDICAL CORPORATION

Practice address

649 Mission St
San Francisco, CA 94105-4127

Phone

(415) 604-9972

Fax

(415) 604-9973

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Justen Watkins, D.O

Title

Director

Phone

(415) 604-9972

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1285173757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941054127",
            "telephone_number": "415-604-9972",
            "fax_number": "415-604-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941054127",
            "telephone_number": "415-604-9972",
            "fax_number": "415-604-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEMBI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JUSTEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-604-9972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A13585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan Belyaev
• Brittaney Marie Belyeu, M.D.
• Annika Belzer, MD
• John Belzer, M.D.
• Nina Michelle Bemben, PHARM.D.
• Rania Ben Salha
• Charbel Ann Benard
• Jay Kenneth Benard, D.P.M.
• Robert Adam Benard, NP
• Ryan Kenneth Valero Benavente

• General Practice Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.