Active NPI
Peter D Bekendam, MD
- Ophthalmology Physician
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A95411
- Practice address
- 555 N 13TH Ave
Upland, CA 91786-4904 - Phone
- (909) 982-8846
- NPI assigned
- Feb 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A95411 | CA | Primary |
Addresses
Primary practice location
555 N 13TH Ave
Upland, CA 91786-4904
Mailing address
555 N 13TH Ave
Upland, CA 91786-4904
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Loma Linda University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 N 13TH Ave
Upland, CA 91786-4904
Phone (909) 982-8846
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 76.08
- Promoting interoperability
- 72
- Improvement activities
- 40
- Cost
- 75.13
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 407 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A95411 | CA | MD | Ophthalmology Physician |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Eye Institute, a Medical Group, Inc. | Ophthalmology | Current | Accepting new patients |
| Beaver Medical Group P C | Past | Accepting new patients | |
| Richmond E Roeske a Professional Corp | Ophthalmology | Past | Accepting new patients |
| Diagnostic Imaging Services | Past | Accepting new patients | |
| PHC-Las Cruces Inc | Past | Accepting new patients | |
| St. Mary Medical Center | Past | Accepting new patients | |
| San Antonio Regional Hospital | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
15099 Kamana Rd
Apple Valley, CA 92307
16177 Kamana Rd
Apple Valley, CA 92307
Phone (760) 946-0618
500 E Mountain View St
Barstow, CA 92311
Phone (460) 256-1026
1900 E Washington St
Colton, CA 92324
Phone (909) 825-3425
12442 Limonite Ave
Unit 200
Eastvale, CA 91752
Phone (951) 737-4000
11959 Mariposa Rd
Hesperia, CA 92345
Phone (760) 956-1100
9481 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 937-9230
8112 Milliken Ave
Ste 203
Rancho Cucamonga, CA 91730
Phone (909) 945-3563
41877 Enterprise Cir N
Ste 110
Temecula, CA 92590
Phone (951) 296-2244
555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846
591 N 13th Ave
Upland, CA 91786
Phone (909) 946-5320
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Upland, CA
- NPI 1962422709
-
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- Ophthalmology Physician
- Temecula, CA
- NPI 1689776569
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
-
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1669456299
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1740468263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N 13TH AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N 13TH AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864904",
"telephone_number": "909-982-8846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEKENDAM",
"first_name": "PETER",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A95411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.