Kathryn Bedor

Primary specialty

ContractorTaxonomy code 171W00000X

License

L9694 Issued in CA

Practice address

9750 Miramar Rd Ste 130
San Diego, CA 92126-4561

Phone

(206) 829-0218

NPI assigned

May 3, 2022

Last updated

May 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Bedor Professional 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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1285379263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 1/2 MEADE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163619",
            "telephone_number": "206-829-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264561",
            "telephone_number": "206-829-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOR",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "L9694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "BEDOR",
            "credential": "LE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sandra K Beddor, D.C.
• Kalyn Mercedes Bedel, IDC
• Ronald Melvin Bedford Jr., NP-C
• Raschelle Bednarski
• Karina L Bedolla, MFT
• Esther Bedoy, BA
• Adriana A. Bedoya, MD
• Margaret Bedrosian, LCSW
• Alejandra Bedrossian
• Samantha Lee Bedsole

• Contractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.