Active NPI
Andres Betts, MD
- Anesthesiology Physician
- San Clemente, CA
National Provider Identifier
1902965841
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 20, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G55823
- Practice address
- 665 Camino de Los Mares
Suite 202
San Clemente, CA 92673-2859 - Phone
- (949) 364-8959
- Fax
- (949) 218-1557
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 10, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G55823 | CA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G56823 | CA |
Addresses
Primary practice location
665 Camino de Los Mares
Suite 202
San Clemente, CA 92673-2859
Mailing address
665 Camino de Los Mares
Suite 202
San Clemente, CA 92673-2859
Phone (949) 364-8959
Other names 1
- Dr. Andres Betkowsky
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55823 | CA | MD | Anesthesiology Physician |
| G56823 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellingham Anesthesia Associates, P.S. | Anesthesiology | Past | Accepting new patients |
| Providence Wa Anesthesia Services, P.C. | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- abetts16467@direct.memorialcare.org
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.
-
- Pain Medicine Physician
- San Clemente, CA
- NPI 1952437261
-
- Anesthesiology Physician
- Bellingham, WA
- NPI 1609893460
-
- Anesthesiology Physician
- Everett, WA
- NPI 1669615894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1902965841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 CAMINO DE LOS MARES",
"address_2": "SUITE 202",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732859",
"telephone_number": "949-364-8959",
"fax_number": "949-218-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 CAMINO DE LOS MARES",
"address_2": "SUITE 202",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732859",
"telephone_number": "949-364-8959",
"fax_number": "949-218-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTS",
"first_name": "ANDRES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G55823",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "G56823",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDRES",
"last_name": "BETKOWSKY",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.