Organization Active NPI

Becker Pediatric Medical Corp.

  • Primary Care Clinic/Center
  • Murrieta, CA
National Provider Identifier
1477960276
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BECKER PEDIATRIC MEDICAL CORP.
Practice address
24679 Monroe Ave
Suite D102-103
Murrieta, CA 92562
Phone
(951) 600-2681
Fax
(951) 600-0131
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Dr. Ronald Paul Becker, MDNPI 1124000724
Title
MD-Owner
Phone
(951) 600-2681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G058254 CA
Primary Care Clinic/Center 261QP2300X CA Primary

Addresses

Primary practice location

24679 Monroe Ave
Suite D102-103
Murrieta, CA 92562

Mailing address

24679 Monroe Ave
Suite D102-103
Murrieta, CA 92562
Phone (951) 600-2681

Other names 1

  • Ronald P. Becker M.D. Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0682802Becker Pediatric Medical Corp24679 Monroe Ave Ste D 102/103, Murrieta, CA 92562Certificate of waiverJun 3, 2027

National Provider Directory

National Provider Directory

Locations

24679 Monroe Ave
Ste D102103
Murrieta, CA 92562
Phone (951) 600-2681

24679 Monroe Ave
Ste 102
Murrieta, CA 92562

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1477960276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24679 MONROE AVE",
            "address_2": "SUITE D102-103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-600-2681",
            "fax_number": "951-600-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24679 MONROE AVE",
            "address_2": "SUITE D102-103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-600-2681",
            "fax_number": "951-600-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKER PEDIATRIC MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MD-OWNER",
        "authorized_official_telephone_number": "951-600-2681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G058254",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald P. Becker M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.