Individual provider Active NPI

Amy C Begnoche, D.O.

  • Emergency Medicine Physician
  • Colton, CA
National Provider Identifier
1962723338
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A12025 Issued in CA
Practice address
400 N Pepper Ave
Emergency Medicine Dept.
Colton, CA 92324-1801
Phone
(909) 580-6370
NPI assigned
Jun 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A12025 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
Emergency Medicine Dept.
Colton, CA 92324-1801

Mailing address

400 N. Pepper Ave
Emergency Medicine Dept.
Colton, CA 92324
Phone (909) 580-6370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150618001309 KS Practitioner - Emergency Medicine 0648407346 Reassigns benefits to 2 organizations
I20161019002833 MO Practitioner - Emergency Medicine 0648407346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of KS PAGroup PAC ID 4385009695, 34 clinicians

Practice addresses (Care Compare)

5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12025CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Jun 15, 2015 Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Jun 15, 2015 Accepting new patients
Cep America - Kansas LLC Emergency Medicine Current Accepting new patients
Emergency Medicine Services of Mo, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1962723338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N. PEPPER AVE",
            "address_2": "EMERGENCY MEDICINE DEPT.",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324",
            "telephone_number": "909-580-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "address_2": "EMERGENCY MEDICINE DEPT.",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGNOCHE",
        "first_name": "AMY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-19",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A12025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.