Nicholas Cane Becketti, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15186 Issued in CA

Practice address

759 Americana Way
Glendale, CA 91210-1507

Phone

(415) 349-0850

Fax

(415) 354-3430

NPI assigned

Jun 5, 2015

Last updated

Feb 8, 2021By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Central Coast Family Care Medical Associates, Inc

  dba Central Coast Family Care

  • Family Medicine Physician
  • Santa Maria, CA
  • NPI 1881882611
  Medicare reassignment NPD
• Central Coast Family Care Medical Associates, Inc

  dba Central Coast Family Care

  • Family Medicine Physician
  • Santa Maria, CA
  • NPI 1134173859
  NPD
• Central Coast Family Care Medical Associates, Inc.

  dba Central Coast Family Care 6

  • Family Medicine Physician
  • Santa Maria, CA
  • NPI 1093467730
  NPD

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1922488824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 AMERICANA WAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912101507",
            "telephone_number": "415-349-0850",
            "fax_number": "415-354-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 AMERICANA WAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912101507",
            "telephone_number": "415-349-0850",
            "fax_number": "415-354-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETTI",
        "first_name": "NICHOLAS",
        "middle_name": "CANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "15186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beautiful Baby Conceptions, Inc
• Jean Philippe Beauvois, PT
• James Joseph Beck, D.D.S.
• Harald R Becker, M.D.
• Shelby Joanna Becker, RD
• Autumn Simonne Beckles
• Areen Bedoyan
• Sandra Bedoyan
• Nadia Bedrosian, M.S., RDN
• Alenoush Bedrossian, LMFT

• Family Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.