Abraham Morris Bettin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

358657 Issued in CA

Practice address

4026 Malcolm Ave
Oakland, CA 94605-5455

Phone

(510) 567-3401

NPI assigned

Dec 1, 2021

Last updated

Dec 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Ahvram M Bettin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1992463426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 MALCOLM AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055455",
            "telephone_number": "510-567-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 MALCOLM AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055455",
            "telephone_number": "510-567-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTIN",
        "first_name": "ABRAHAM",
        "middle_name": "MORRIS",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "358657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AHVRAM",
            "last_name": "BETTIN",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Marrisa Bettencourt
• Roy Bettencourt, LMFT
• Bettenel Medical Group, Inc
• Rana Diane Betting, MFT
• James M. Betts, M.D.
• Kelsey Crystel-Marie Bevans
• Rochelle L Beverage
• Bianca Beverina

• Registered Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.