Active NPI
Amy P. Becerra, P.A.
- Physician Assistant
- Bakersfield, CA
National Provider Identifier
1811969371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15386
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15386 | CA | MD | Speech-Language Pathologist |
| PA15386 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Bakersfield Pain Management, Inc.
- Specialist
- Bakersfield, CA
- NPI 1164624813
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1265546451
-
- Health Maintenance Organization
- San Luis Obispo, CA
- NPI 1275735011
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.