Active NPI
Kenneth Michael Becerril, ACA
- Hearing Instrument Specialist
- Riverside, CA
National Provider Identifier
1902965734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA3537
- Practice address
- 5908 Magnolia Ave
Riverside, CA 92506-1884 - Phone
- (951) 779-1237
- Fax
- (951) 779-1238
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA3537 | CA | Primary |
Addresses
Primary practice location
5908 Magnolia Ave
Riverside, CA 92506-1884
Mailing address
5908 Magnolia Ave
Riverside, CA 92506-1884
Phone (951) 779-1237
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ64762Z | Other | CA | BLUE CARD |
| BEL-45460 | Other | CA | SECUREHORIZONS-PACIFICARE |
| ZZZ64762Z | Other | CA | BLUE SHIELD OF CALIF. |
| 611A63223 | Other | CA | BLUE CROSS OF CALIF. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HA3537 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beltone of Riverside | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing Instrument Specialist
- Riverside, CA
- NPI 1841338944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902965734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5908 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061884",
"telephone_number": "951-779-1237",
"fax_number": "951-779-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5908 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061884",
"telephone_number": "951-779-1237",
"fax_number": "951-779-1238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECERRIL",
"first_name": "KENNETH",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "ACA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA3537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARD",
"identifier": "ZZZ64762Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECUREHORIZONS-PACIFICARE",
"identifier": "BEL-45460",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIF.",
"identifier": "ZZZ64762Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CALIF.",
"identifier": "611A63223",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.