NPIMap

Organization Active NPI

Brian a Beck MD a Medical Corp Etal PTR Leonard a Gale MD Medical Corp

  • Specialist
  • Montebello, CA
National Provider Identifier
1497892137
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BRIAN A BECK MD A MEDICAL CORP ETAL PTR LEONARD A GALE MD MEDICAL CORP
Practice address
101 E Beverly Blvd
Suite 206
Montebello, CA 90640-4300
Phone
(323) 725-7297
Fax
(323) 725-0335
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Linda Shaver
Title
Business Administrator
Phone
(562) 698-6296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

101 E Beverly Blvd
Suite 206
Montebello, CA 90640-4300

Mailing address

12291 Washington Blvd
Suite 303
Whittier, CA 90606-2500
Phone (562) 698-6296

Other identifiers 5

IdentifierTypeStateIssuer
G40274OtherCASTATE LICENSE
A23344OtherCASTATE LICENSE
A25381OtherCASTATE LICENSE
A61369OtherCASTATE LICENSE
A69058OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040305000997 CA Part B Supplier - Clinic/Group Practice 4587552112 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Whittier, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

101 E Beverly Blvd
Ste 206
Montebello, CA 90640
Phone (323) 725-7297

12291 Washington Blvd
Ste 303
Whittier, CA 90606
Phone (562) 698-6296

Practitioners & affiliated clinicians

Practitioners 12

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1497892137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD",
            "address_2": "SUITE 303",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062500",
            "telephone_number": "562-698-6296",
            "fax_number": "562-693-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "address_2": "SUITE 206",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404300",
            "telephone_number": "323-725-7297",
            "fax_number": "323-725-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A BECK MD A MEDICAL CORP ETAL PTR LEONARD A GALE MD MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "562-698-6296"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G40274",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A23344",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A25381",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A61369",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A69058",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.