Individual provider Active NPI

Kyle Joseph Bechaz, M.D.

  • Geriatric Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1497042287
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
132720 Issued in CA
Practice address
760 Westwood PLZ
Los Angeles, CA 90024-5055
Phone
(310) 825-0018
NPI assigned
Jun 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 132720 CA Primary

Addresses

Primary practice location

760 Westwood PLZ
Los Angeles, CA 90024-5055

Mailing address

760 Westwood PLZ
Los Angeles, CA 90024-5055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622001911 CA Practitioner - Psychiatry 2961793963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Jack J Wu MD IncGroup PAC ID 1951529239, 2 clinicians

Practice addresses (Care Compare)

28720 Roadside Dr
Suite 399
Agoura Hills, CA 91301-4599
Phone (818) 693-1431

5363 Balboa Blvd
Suite 245
Encino, CA 91316-2827
Phone (818) 693-1431

6442 Platt Ave
Suite 726
West Hills, CA 91307-3216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jack J Wu MD Inc CurrentSince Jul 15, 2016 Accepting new patients

Locations

28720 Roadside Dr
Ste 399
Agoura Hills, CA 91301
Phone (818) 575-9501

5363 Balboa Blvd
Ste 245
Encino, CA 91316
Phone (818) 343-4430

6520 Platt Ave
#726
West Hills, CA 91307

6442 Platt Ave
West Hills, CA 91307
Phone (818) 340-2033

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1497042287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245055",
            "telephone_number": "310-825-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECHAZ",
        "first_name": "KYLE",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "132720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.