Active NPI
Marilyn Joyce Becker, P.A.
- Medical Physician Assistant
- Thousand Oaks, CA
National Provider Identifier
1437324019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 10124
- Practice address
- 2230 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-1901 - Phone
- (805) 495-1066
- Fax
- (805) 497-0162
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 10124 | CA | Primary |
Addresses
Primary practice location
2230 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-1901
Mailing address
2230 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-1901
Phone (805) 495-1066
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10124 | CA | MD | Mental Health Counselor |
| PA 10124 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1437324019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 LYNN RD",
"address_2": "SUITE 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601901",
"telephone_number": "805-495-1066",
"fax_number": "805-497-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 LYNN RD",
"address_2": "SUITE 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601901",
"telephone_number": "805-495-1066",
"fax_number": "805-497-0162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "MARILYN",
"middle_name": "JOYCE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA 10124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
- Mehrzad Bazyar
- BDX Medicare Chiropractic Daniels and Stanislawski P C
- Be Well Occupational Therapy a Professional Corp
- Andrea Bechtel, PA
- Mikaela Beck
- Jamie David Bedics, PH.D.
- Dina Naguib Bedwani
- Joseph Babak Behjat, DDS
- Behnoush Khafajizadeh, Licensed Clinical Social Worker Inc
- Behooli Healthcare Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.