Bettenel Medical Group, Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G022905 Issued in CA

Legal business name

BETTENEL MEDICAL GROUP, INC

Practice address

365 Hawthorne Ave Ste 301
Oakland, CA 94609-3113

Phone

(510) 893-1700

Fax

(510) 893-0110

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ed Blumenstock, M.D.

Title

President

Phone

(510) 893-1700

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Martin Blumenstock, MD

  • Obstetrics & Gynecology Physician
  • Oakland, CA
  • NPI 1235156738
  NPD (past)
• Belle Huang, M.D.

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1184731846
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1487747804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 HAWTHORNE AVE STE 301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093113",
            "telephone_number": "510-893-1700",
            "fax_number": "510-893-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 HAWTHORNE AVE STE 301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093113",
            "telephone_number": "510-893-1700",
            "fax_number": "510-893-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTENEL MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "BLUMENSTOCK",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-893-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G022905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Kahlil Betancourt
• Yarely Betancourt
• Renee Bettencourt-Hernandez, RN
• Marrisa Bettencourt
• Roy Bettencourt, LMFT
• Abraham Morris Bettin, RN
• Rana Diane Betting, MFT
• James M. Betts, M.D.
• Kelsey Crystel-Marie Bevans
• Rochelle L Beverage

• Obstetrics & Gynecology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.