Individual provider Active NPI

Becky Zhao, MD

  • Pediatrics Physician
  • Azusa, CA
National Provider Identifier
1356703375
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
187010 Issued in CA
Practice address
150 N Azusa Ave
Azusa, CA 91702-3521
Phone
(626) 969-7885
Fax
(626) 969-9686
NPI assigned
Mar 28, 2016
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 187010 CA Primary

Addresses

Primary practice location

150 N Azusa Ave
Azusa, CA 91702-3521

Mailing address

150 N Azusa Ave
Azusa, CA 91702-3521
Phone (626) 969-7885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260430002460 CA Practitioner - Pediatric Medicine 9234424102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
State University of New York at Buffalo School of Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5820 Owens Dr
BLDG E2Nd
Pleasanton, CA 94588-3900

5820 Owens Dr BLDG E 2ND Floor
Pleasanton, CA 94588-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
187010CAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: becky.zhao@pai.gwaydirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1356703375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023521",
            "telephone_number": "626-969-7885",
            "fax_number": "626-969-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023521",
            "telephone_number": "626-969-7885",
            "fax_number": "626-969-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "BECKY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "187010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

Verify at the official NPI Registry.