Individual provider Active NPI

Bettina Tayengco Limjoco, M.D.

  • Rehabilitation Practitioner
  • Newport Beach, CA
National Provider Identifier
1851303671
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
C51899 Issued in CA
Practice address
20072 SW Birch St
Suite 170
Newport Beach, CA 92660-0794
Phone
(949) 891-0945
Fax
(949) 201-0824
NPI assigned
Aug 12, 2006
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X C51899 CA Primary

Addresses

Primary practice location

20072 SW Birch St
Suite 170
Newport Beach, CA 92660-0794

Mailing address

20072 SW Birch St
Suite 170
Newport Beach, CA 92660-0794
Phone (949) 891-0945

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
I20070821000369 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician) 7517853328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Majid Rahimifar MD IncGroup PAC ID 8426048661, 5 clinicians

Practice addresses (Care Compare)

2601 Oswell St
Suite 101
Bakersfield, CA 93306-3173
Phone (661) 872-9999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C51899CAMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Majid Rahimifar, MD, Inc CurrentSince Oct 22, 2018 Accepting new patients
Merced Pathology Medical Group, Inc. Past Accepting new patients
M. Daisy Ilano Dba Journey to Kindness Health Management Services Past Accepting new patients
Universal Healthcare Ipa, Inc. Past Accepting new patients

Locations

2601 Oswell St
Ste 101
Bakersfield, CA 93306
Phone (661) 616-5810

Organizations & group practices 5

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1851303671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST",
            "address_2": "SUITE 170",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600794",
            "telephone_number": "949-891-0945",
            "fax_number": "949-201-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST",
            "address_2": "SUITE 170",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600794",
            "telephone_number": "949-891-0945",
            "fax_number": "949-201-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMJOCO",
        "first_name": "BETTINA",
        "middle_name": "TAYENGCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "C51899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.