Active NPI
Albert James Behrend, M.D.
- Surgery Physician
- El Cajon, CA
National Provider Identifier
1750428918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C40277
- Practice address
- 450 Stableridge St
El Cajon, CA 92019-1245 - Phone
- (619) 462-5916
- Fax
- (619) 334-1313
- NPI assigned
- Jan 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C40277 | CA | Primary |
| Vascular Surgery Physician | 2086S0129X | C40277 | CA |
Addresses
Primary practice location
450 Stableridge St
El Cajon, CA 92019-1245
Mailing address
PO Box 2005
El Cajon, CA 92021-0005
Phone (619) 462-5916
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C402770 | Medicaid | CA | |
| 0000 | Other | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1750428918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2005",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920210005",
"telephone_number": "619-462-5916",
"fax_number": "619-334-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 STABLERIDGE ST",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920191245",
"telephone_number": "619-462-5916",
"fax_number": "619-334-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHREND",
"first_name": "ALBERT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C40277",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "C40277",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C402770",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "0000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.