David Bedrous, PA-C

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

PA54380 Issued in CA

Practice address

27300 Iris Ave
Moreno Valley, CA 92555-4802

Phone

(951) 243-0811

NPI assigned

Jun 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1750802914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16760 BURRO RD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925707122",
            "telephone_number": "951-258-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27300 IRIS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554802",
            "telephone_number": "951-243-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDROUS",
        "first_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "PA54380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dima Bechenati, MD
• Nicole Elizabeth Becker, LVN
• Jerlaine Cassandra Beckwith, BA
• Taline Bedelian
• Araceli Bedolla
• Brandie Beechum
• Behnaz Khodadad, DDS, Inc
• Anel Judith Bejarano
• Val Beleniuc
• Carina Bell, MD

• Emergency Medicine Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.