Individual provider Active NPI

Amy P. Becerra, P.A.

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1811969371
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15386 Issued in CA
Practice address
2005 17TH St
Bakersfield, CA 93301-4203
Phone
(661) 716-2600
Fax
(661) 716-2601
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15386 CA Primary

Addresses

Primary practice location

2005 17TH St
Bakersfield, CA 93301-4203

Mailing address

2005 17TH St
Bakersfield, CA 93301-4203
Phone (661) 716-2600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060217000383 CA Practitioner - Physician Assistant 7810902459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Stanford University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2323 16TH St
Suite 504
Bakersfield, CA 93301-3454
Phone (661) 395-1335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15386CAMDSpeech-Language Pathologist
PA15386CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Central California Emergency Medicine Physicians Past Accepting new patients

Organizations & group practices 3

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1811969371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014203",
            "telephone_number": "661-716-2600",
            "fax_number": "661-716-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014203",
            "telephone_number": "661-716-2600",
            "fax_number": "661-716-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRA",
        "first_name": "AMY",
        "middle_name": "P.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.