Individual provider Active NPI

Michael T Beck, P.A.-C

  • Physician Assistant
  • Salinas, CA
National Provider Identifier
1376584896
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 10987 Issued in CA
Practice address
831 S. Main St.
Workwell Medical Group
Salinas, CA 93901-2436
Phone
(831) 422-3701
Fax
(831) 536-1859
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 10987 CA Primary

Addresses

Primary practice location

831 S. Main St.
Workwell Medical Group
Salinas, CA 93901-2436

Mailing address

1172 S. Main St. #380
Workwell Medical Group
Salinas, CA 93901-2204
Phone (831) 533-5353

Other identifiers 2

IdentifierTypeStateIssuer
0PA109870OtherBLUE SHIELD
0PA109870OtherCABLUE SHIELD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA 10987CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1376584896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 S. MAIN ST. #380",
            "address_2": "WORKWELL MEDICAL GROUP",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012204",
            "telephone_number": "831-533-5353",
            "fax_number": "831-536-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 S. MAIN ST.",
            "address_2": "WORKWELL MEDICAL GROUP",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012436",
            "telephone_number": "831-422-3701",
            "fax_number": "831-536-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 10987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0PA109870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "0PA109870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.