Active NPI
Timothy Bechtel
- Surgery Physician
- Stockton, CA
National Provider Identifier
1912933508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A94734
- Legal business name
- TIMOTHY BECHTEL
- Practice address
- 1805 N California St
Suite 409
Stockton, CA 95204-6037 - Phone
- (209) 948-0578
- Fax
- (209) 948-3125
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Bechtel, MD
- Title
- President/MD
- Phone
- (209) 948-0578
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A94734 | CA | Primary |
Addresses
Primary practice location
1805 N California St
Suite 409
Stockton, CA 95204-6037
Mailing address
1805 N California St
Suite 409
Stockton, CA 95204-6037
Phone (209) 948-0578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A94734 | Other | CA | LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Timothy Bechtel
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgery Physician
- Stockton, CA
- NPI 1093977191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912933508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 N CALIFORNIA ST",
"address_2": "SUITE 409",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046037",
"telephone_number": "209-948-0578",
"fax_number": "209-948-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 N CALIFORNIA ST",
"address_2": "SUITE 409",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046037",
"telephone_number": "209-948-0578",
"fax_number": "209-948-3125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY BECHTEL",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BECHTEL",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "PRESIDENT/MD",
"authorized_official_telephone_number": "209-948-0578",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A94734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A94734",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.