DR. SUZANNE K BECKER (NPI# 1407852098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407852098 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE K BECKER |
| Credential | MD |
| Practice Address |
4004 Beyer Blvd San Ysidro CA 92173-2007 |
| Practice Telephone | 6196624100 |
| Practice Fax Number | 6194287952 |
| Mailing Telephone | 6196624100 |
| Mailing Fax Number | 6194287952 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A84157 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | BB7952472 | 01 |
| CA | 93228732 | 05 | |
| CA | MEDICAL LICENSE | A84157 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821056375 | Suzanne R Becker | Social Worker | 518 Curtis St, Brush, CO 80723 | 2006-05-03 |
| 1649895053 | Suzanne Andrea Becker | Marriage & Family Therapist | 9990 County Farm Rd Ste 5, Riverside, CA 92503-3542 | 2020-06-11 |
| 1124315288 | Suzanne Marie Becker | Physical Therapist | 10900 Warner Ave, #111, Fountain Valley, CA 92708-3846 | 2011-07-08 |
| Street Address |
4004 BEYER BLVD |
| City | SAN YSIDRO |
| State | CA |
| Zip Code | 92173-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476474 | Manuela Mercedes Soto-mendez | Counselor | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2020-08-05 |
| 1912530312 | Yessica Lupita Hernandez | Registered Nurse | 4004 Beyer Blvd, San Ysidro, CA 92173-2099 | 2020-02-13 |
| 1477115327 | Karen Sales | Health Educator | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2019-07-01 |
| 1306408232 | Alma N Sandoval | Health Educator | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2019-07-01 |
| 1972165819 | Ariel Natalie Servin | Health Educator | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2019-07-01 |
| 1346700325 | Stephanie Smith | Psychologist | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2019-03-25 |
| 1164989919 | Valerie Ann Reyes Gaurano | Pharmacist | 4004 Beyer Blvd, San Ysidro, CA 92173-2099 | 2019-02-28 |
| 1184181224 | Warren Edwin Quigley | Pharmacist | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2019-02-25 |
| 1255845608 | Erika Andrea Reyes | Dental Hygienist | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2017-11-21 |
| 1518401827 | Raul Ochoa | Chiropractor | 4004 Beyer Blvd, San Ysidro, CA 92173-2099 | 2016-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740707595 | Edith Gisel Herrera | Specialist/Technologist | 2370 Smythe Avenue #8, San Ysidro, CA 92173 | 2017-08-23 |
| 1508286709 | Negin Rajaipour | Family Medicine | 1601 Precision Park Ln, San Ysidro, CA 92173 | 2014-04-26 |
| 1962588376 | Jose Maria Alanis Amezcua | Obstetrics & Gynecology | 185 West San Ysidro Blvd, San Ysidro, CA 92173 | 2006-10-27 |
| 1346251535 | Yadira L Gamez | Dentist | 2004 Dairy Mart Rd, Ste 120, San Ysidro, CA 92173 | 2006-08-11 |
| 1558852947 | Centro De Salud De La Comunidad De San Ysidro Inc | Clinic/Center | 4050 Beyer Blvd, San Ysidro, CA 92173 | 2018-05-22 |
| 1023215084 | Nanci Haruko Quinones Clifford | Physical Therapist | 4650 Palm Ave., San Diego, CA 92173-0000 | 2007-07-02 |
| 1891137386 | Altay Nikkisha Jones Johnson | Licensed Vocational Nurse | 3055 Iris Ave Unit D, San Ysidro, CA 92173-1146 | 2013-07-24 |
| 1689221558 | Hector Puga Hernandez | Driver | 1811 Howard Ave, San Ysidro, CA 92173-1238 | 2019-08-24 |
| 1689180846 | Amy Denise Reyes | Behavior Technician | 1829 Howard Ave, San Ysidro, CA 92173-1238 | 2017-12-22 |
| 1265843122 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 3364 Beyer Blvd, Suite #102 & #103, San Ysidro, CA 92173-1322 | 2014-05-14 |
| Find all providers in zip 92173 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508286709 | Negin Rajaipour | Family Medicine | 1601 Precision Park Ln, San Ysidro, CA 92173 | 2014-04-26 |
| 1083033146 | Justin Michael Bennink | Family Medicine | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2014-04-15 |
| 1205196029 | David Lepez | Family Medicine | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2012-05-26 |
| 1760765333 | Jessica Rose Sanders | Family Medicine | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2011-09-21 |
| 1780979120 | Aleka Delafield Heinrici | Family Medicine | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2011-06-14 |
| 1629394721 | Nicholas Ryan Whitley | Family Medicine | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2010-04-14 |
| 1154647410 | Karla Jannet Garcia | Family Medicine | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2010-04-12 |
| 1932393220 | Tom Ellis Williams | Family Medicine | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2007-08-30 |
| 1720270457 | Natalie Rodriguez | Family Medicine | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2007-08-16 |
| 1154513877 | Cesar Duque Duque Gomez | Family Medicine | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2007-08-16 |
| Find all providers in SAN YSIDRO | ||||
| City | SAN YSIDRO |
| Zip Code | 92173 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.