DAVID ANTONIO BECERRIL (NPI# 1902806771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902806771 |
| Entity Type | Individual |
| Full Name | DAVID ANTONIO BECERRIL |
| Credential | MD |
| Practice Address |
111 Main St Granger WA 98932 |
| Mailing Address |
Po Box 2605 Yakima WA 98907-2605 |
| Practice Telephone | 5093172182 |
| Practice Fax Number | 5094544115 |
| Mailing Telephone | 5094544143 |
| Mailing Fax Number | 5094544115 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00021300 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1075258 | 05 |
| Street Address |
111 MAIN ST |
| City | GRANGER |
| State | WA |
| Zip Code | 98932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154358240 | Peter G. Scoville | Nurse Practitioner | 111 Main St, Granger, WA 98932-9306 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710422407 | Yakima Valley Farm Workers Clinic | Clinic/Center | 115 Sunnyside Avenue, Granger, WA 98932 | 2017-01-04 |
| 1952694549 | Benjamin Wilson | Family Medicine | 115 Sunnyside Ave Ste A, Granger, WA 98932 | 2011-05-16 |
| 1154438919 | Ona Carolyn Allen | Nurse Practitioner | 115 Sunnyside Ave, Granger, WA 98932 | 2006-08-25 |
| 1215485321 | Carmen C Bowie | Nurse Practitioner | 115 Sunnyside Ave, Granger, WA 98932 | 2016-09-17 |
| 1134572548 | Yakima Neighborhood Health Services | Clinic/Center | 112 Main Street, Granger, WA 98932 | 2016-07-20 |
| 1982077327 | Yakima Neighborhood Health Services | Clinic/Center | 111 Main Street, Granger, WA 98932 | 2015-11-06 |
| 1497124861 | Yakima Neighborhood Health Services | Clinic/Center | 111 Main Street, Granger, WA 98932 | 2015-09-16 |
| 1518235001 | Heather Marie Stickle | Nurse Practitioner | 115 Sunnyside Ave, Suite A, Granger, WA 98932 | 2011-12-12 |
| 1447409446 | Holly Heist Meskimen Clark | Physician Assistant | 115 Sunnyside Ave, Granger, WA 98932 | 2008-09-15 |
| 1265076954 | Rose Almanza | Day Training, Developmentally Disabled Services | 1841 Gap Rd, Granger, WA 98932-9487 | 2019-11-05 |
| Find all providers in zip 98932 | ||||
| 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 |
|---|---|---|---|---|
| 1952694549 | Benjamin Wilson | Family Medicine | 115 Sunnyside Ave Ste A, Granger, WA 98932 | 2011-05-16 |
| 1902137060 | Candace Corson | Family Medicine | 16641 Brick Rd, Granger, IN 46530-8518 | 2010-01-28 |
| 1376737387 | Shelley A. Morris | Family Medicine | 12340 Bittersweet Commons Blvd W, Granger, IN 46530-6959 | 2007-09-03 |
| 1083822993 | Michael Dennison Conroy | Family Medicine | 16205 Baywood Ln, Granger, IN 46530-7896 | 2007-05-21 |
| 1518180512 | Smita V Patel | Family Medicine | 922 East University Drive, Granger, IN 46530-4466 | 2007-04-10 |
| 1861418394 | Julie M Ortega-schmitt | Family Medicine | 15015 Sr 23, Unit 3, Granger, IN 46530 | 2006-07-15 |
| 1437149952 | Matthew E Christ | Family Medicine | 12563 State Road 23, Granger, IN 46530-9226 | 2005-10-26 |
| 1962401091 | Cynthia Lynn Pascual | Family Medicine | 6913 N Main St Ste 300, Granger, IN 46530-8039 | 2005-07-20 |
| 1487653408 | Mark P Schmeltz | Family Medicine | 12340 Bittersweet Commons Blvd. West, Granger, IN 45630-6959 | 2005-07-20 |
| 1437152394 | Lori L. Checkley | Family Medicine | 6913 N Main St, Granger, IN 46530-8039 | 2005-05-24 |
| Find all providers in GRANGER | ||||
Please comment or provide details below to improve the information on DAVID ANTONIO BECERRIL.
| 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.