Bethel Family Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BETHEL FAMILY MEDICAL GROUP INC

Practice address

720 N Harbor Blvd
B
Fullerton, CA 92832-1505

Phone

(714) 782-7700

Fax

(714) 982-3979

NPI assigned

Apr 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Wonbae Choe, M.D,NPI 1104955194

Title

President

Phone

(714) 782-7700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wonbae Choe, M.D.

  • Family Medicine Physician
  • Fullerton, CA
  • NPI 1104955194
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1467848747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N HARBOR BLVD",
            "address_2": "B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321505",
            "telephone_number": "714-782-7700",
            "fax_number": "714-982-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N HARBOR BLVD",
            "address_2": "B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321505",
            "telephone_number": "714-782-7700",
            "fax_number": "714-982-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL FAMILY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "WONBAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-782-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Berta, LCSW
• Maiya Corrine Bertrand, LCSW
• Joscelyn Berumen
• Cecilia Beshara
• Mayra Milena Betancourt Espana
• Bethel O & a, Incorporated
• Bethel Seok Won Jang, DDS, Inc.
• Better Days Mental Health LLC
• Carla D Betters, NP
• Ericka P Bettge, M.A.

• Family Medicine Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.