Mark S. Bettermon, M.D. D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A28689 Issued in CA

Practice address

22233 Village 22
Camarillo, CA 93012

Phone

(805) 987-0691

NPI assigned

May 5, 2014

Last updated

May 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1417367079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22233 VILLAGE 22",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93012",
            "telephone_number": "805-987-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22233 VILLAGE 22",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93012",
            "telephone_number": "805-987-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTERMON",
        "first_name": "MARK",
        "middle_name": "S.",
        "credential": "M.D. D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "A28689",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A28689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Bermudez
• Marizza Berrington
• Nicole Best, PT
• Heather Bestwick
• Bethany Christian Services of Sounthern Ca
• Beverly Radiology Medical Group (Camarillo Imaging Center Medical Group)
• Steve Bibian
• Kathryn Keller Biddle, NP
• Fereshteh Bidokhtinezhad, PHARMD
• Erin M Bies

• General Practice Physician in Camarillo, CA
• Providers in Camarillo, 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 May 5, 2014; 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.