Bethany Dube, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

55697 Issued in CA

Practice address

120 S Spalding Dr Ste 340
Beverly Hills, CA 90212-1841

Phone

(310) 777-8800

Fax

(310) 861-1722

NPI assigned

Jun 23, 2018

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1972057990
  NPD (past)

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

{
    "created_epoch": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1881189710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 4TH ST APT 107",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055452",
            "telephone_number": "978-618-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 340",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121841",
            "telephone_number": "310-777-8800",
            "fax_number": "310-861-1722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1617 Westcliff Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926605526",
            "country_code": "US",
            "telephone_number": "949-644-2858",
            "fax_number": "310-861-1722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBE",
        "first_name": "BETHANY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-23",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS Kevin Michele and Shawn Frawley Beverly Hills Dental Group Inc
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• Jose Luis Duarte, PA-C
• Jessica Dubelman, PA-C
• Alexandra Dubinskaya, M.D.
• Robert William Dubois, M.D.
• Andre Pierrette Duchesneau, MFT, PH.D
• Michael T Duffy, M.D.

• All providers in Beverly Hills, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.