Individual provider Active NPI

Myra Becraft

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1588867949
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G074977 Issued in CA
Practice address
724 Bonair St
La Jolla, CA 92037-6115
Phone
(619) 692-8222
NPI assigned
Jun 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G074977 CA Primary

Addresses

Primary practice location

724 Bonair St
La Jolla, CA 92037-6115

Mailing address

724 Bonair St
La Jolla, CA 92037-6115

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
I20041108001309 CA Practitioner - Psychiatry 7113980350 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74977CAMDPharmacist
G074977CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Nov 12, 2025 Accepting new patients
County of Amador CurrentSince Oct 14, 2014 Accepting new patients
San Benito County CurrentSince Nov 18, 2021 Accepting new patients
Redwood Quality Management Company, Inc. CurrentSince Jul 5, 2022 Accepting new patients
Redwood Quality Management Company, Inc. Current Accepting new patients
County of Amador PastSince Aug 18, 2019 Accepting new patients
County of San Benito Behavioral Health PastSince Jun 2, 2024 Accepting new patients

Locations

1131 Community Pkwy
Hollister, CA 95023
Phone (831) 636-4020

1131 San Felipe Rd
Hollister, CA 95023
Phone (831) 636-4020

10877 Conductor Blvd
Ste 300
Sutter Creek, CA 95685
Phone (209) 223-6412

350 E Gobbi St
Ukiah, CA 95482
Phone (707) 472-0350

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588867949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 BONAIR ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 BONAIR ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376115",
            "telephone_number": "619-692-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECRAFT",
        "first_name": "MYRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G074977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.