Individual provider Active NPI

Terry S. Becker, MEDICAL DOCTOR

  • Diagnostic Radiology Physician
  • Pasadena, CA
National Provider Identifier
1780674374
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G24684 Issued in CA
Practice address
65 N Madison Ave
Lower Level
Pasadena, CA 91101-2035
Phone
(626) 793-8189
Fax
(626) 795-3975
NPI assigned
Oct 25, 2005
Last updated
Feb 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X G24684 CA
Nuclear Radiology Physician 2085N0904X G24684 CA
Diagnostic Radiology Physician 2085R0202X G24684 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X G24684 CA
Diagnostic Ultrasound Physician 2085U0001X G24684 CA

Addresses

Primary practice location

65 N Madison Ave
Lower Level
Pasadena, CA 91101-2035

Mailing address

223 N 1St Ave
Suite #201
Arcadia, CA 91006-7089
Phone (626) 821-1411

Other identifiers 1

IdentifierTypeStateIssuer
00G246840MedicaidCA

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
I20111128000445 CA Practitioner - Diagnostic Radiology 0648444810 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

490 Paulette PL
La Canada, CA 91011-2728
Phone (585) 218-8005

65 N Madison Ave
Pasadena, CA 91101-2035
Phone (626) 793-8189

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G24684CAMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince May 27, 2023 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Jun 20, 2023 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince May 27, 2023 Accepting new patients
National Standup Imaging, LLC CurrentSince Apr 1, 2014 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince May 27, 2023 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Oaks Diagnostic Inc Body Imaging Past Accepting new patients
Healthcare Partners Affiliates Medical Group Past Accepting new patients

Locations

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

25395 Hancock Ave
Ste 110
Murrieta, CA 92562
Phone (951) 696-4230

3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014

65 N Madison Ave
Pasadena, CA 91101
Phone (626) 578-9991

65 N Madison Ave
#209
Pasadena, CA 91101
Phone (626) 568-1010

65 N Madison Ave
Lowr
Pasadena, CA 91101
Phone (626) 793-8189

65 N Madison Ave
Ste 209
Pasadena, CA 91101
Phone (626) 568-1010

8283 Grove Ave
Ste 101
Rch Cucamonga, CA 91730
Phone (909) 982-8638

2950 Sycamore Dr
Ste 102
Simi Valley, CA 93065
Phone (805) 357-0067

300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1780674374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N 1ST AVE",
            "address_2": "SUITE #201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067089",
            "telephone_number": "626-821-1411",
            "fax_number": "626-821-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE",
            "address_2": "LOWER LEVEL",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012035",
            "telephone_number": "626-793-8189",
            "fax_number": "626-795-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "TERRY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "G24684",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "G24684",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G24684",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G24684",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "G24684",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G246840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.