Active NPI
Bruce B Becker, M.D.
- Ophthalmology Physician
- Encino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- C40316
- Practice address
- 5363 Balboa Blvd
Suite 246
Encino, CA 91316-2805 - Phone
- (818) 783-3510
- Fax
- (818) 783-9059
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | C40316 | CA | Primary |
| Specialist | 174400000X | C40316 | CA |
Addresses
Primary practice location
5363 Balboa Blvd
Suite 246
Encino, CA 91316-2805
Mailing address
5363 Balboa Blvd
Ste 246
Encino, CA 91316-2805
Phone (818) 783-3510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C403160 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5363 Balboa Blvd
Suite 246
Encino, CA 91316-2828
Phone (818) 783-3510
Hospital & facility affiliations
- Lac/Olive View-UCLA Medical Center
- Providence Cedars Sinai Tarzana Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.74 of 100
- Quality
- 77.56
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C40316 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Tarzana Medical Center LLC | Past | Accepting new patients | |
| Bruce B Becker MD a Medical Corporation | Ophthalmology | Past | Accepting new patients |
| Valley Presbyterian Hospital | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients |
Locations
1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240
335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1780877613
-
- Ophthalmology Physician
- Encino, CA
- NPI 1093048365
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- Clinic/Center
- Lancaster, CA
- NPI 1366453045
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
-
- General Acute Care Hospital
- Van Nuys, CA
- NPI 1578529285
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134143415
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1376584433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5363 BALBOA BLVD",
"address_2": "STE 246",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162805",
"telephone_number": "818-783-3510",
"fax_number": "818-783-9059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5363 BALBOA BLVD",
"address_2": "SUITE 246",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162805",
"telephone_number": "818-783-3510",
"fax_number": "818-783-9059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "BRUCE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "C40316",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "C40316",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C403160",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.