Individual provider Active NPI

Timothy Bechtel, MD

  • Surgery Physician
  • Stockton, CA
National Provider Identifier
1902860950
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A94734 Issued in CA
Practice address
2800 N California St Ste 6
Stockton, CA 95204-3758
Phone
(209) 851-2144
Fax
(209) 851-2123
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A94734 CA Primary

Addresses

Primary practice location

2800 N California St Ste 6
Stockton, CA 95204-3758

Mailing address

2800 N California St Ste 6
Stockton, CA 95204-3758
Phone (209) 851-2144

Other identifiers 3

IdentifierTypeStateIssuer
1093977191MedicaidCA
1902860950MedicaidCA
A94734OtherCAMEDICAL LICENSE

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
I20060717000075 CA Practitioner - General Surgery 6204883135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northwestern University Feinberg Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timothy Bechtel MD IncGroup PAC ID 0143232660, 3 clinicians

Practice addresses (Care Compare)

2800 N California St
Suite 6
Stockton, CA 95204-3758
Phone (209) 851-8144

Hospital & facility affiliations

  • St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy Bechtel, MD Inc. Surgery CurrentSince Apr 5, 2006 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Apr 15, 2015 Accepting new patients
County of San Joaquin Past Accepting new patients
St. Joseph'S Hospital, Yonkers Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

2800 N California St
Ste 6
Stockton, CA 95204
Phone (209) 851-2144

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1902860950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST STE 6",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043758",
            "telephone_number": "209-851-2144",
            "fax_number": "209-851-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST STE 6",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043758",
            "telephone_number": "209-851-2144",
            "fax_number": "209-851-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECHTEL",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A94734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093977191",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902860950",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A94734",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.