MEDICARE: JOSEPH D BETTENCOURT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A067264	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A672640	OTHER	CA	BLUE SHIELD PROVIDER #
2	7920125	OTHER	CA	AETNA PIN

General Provider Information

NPI Number	:	1396796215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH D BETTENCOURT MD

Provider Business Mailing Address
First Line	:	2120 GOLDEN HILL ROAD
Second Line	:	SUITE 202
City	:	PASO ROBLES
State	:	CA
Zip	:	93446-0000
Country	:	US
Telephone Number	:	805-434-2240
Fax Number	:	805-434-0102

Provider Business Practice Location Address
First Line	:	2120 GOLDEN HILL ROAD
Second Line	:	SUITE 202
City	:	PASO ROBLES
State	:	CA
Zip	:	93446-0000
Country	:	US
Telephone Number	:	805-434-2240
Fax Number	:	805-434-0102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	09/19/2023

Similar Medicare Providers

1689026114 — EL PASO WEST EMERGENCY ROOM LLC
Practice Location Address:

351 E REDD ROAD
EL PASO, TX
79932-0000

Practice Phone: 214-443-8131
Practice Fax: 214-443-8392

1255053328 — LUCY HUFFMAN AMFT
Practice Location Address:

945 SPRING ST STE 8
PASO ROBLES, CA
93446-2557

Practice Phone: 805-769-8886
Practice Fax:

1497698484 — LUCY HUFFMAN MARRIAGE AND FAMILY THERAPY INC.
Practice Location Address:

945 SPRING ST STE 8
PASO ROBLES, CA
93446-2557

Practice Phone: 805-423-0458
Practice Fax:

1407851710 — MRS. CAROLYN JEAN NATHAN RD, CDE
Practice Location Address:

1820 SERRA WAY
PASO ROBLES, CA
93446-5426

Practice Phone: 805-226-2009
Practice Fax:

1811993991 — MARY ANN AMBROSE MSN, FNP-C
Practice Location Address:

145 SHADOW CREEK LN
PASO ROBLES, CA
93446-1922

Practice Phone: 805-748-5663
Practice Fax:

1881691285 — DR. FRED R RALEIGH PHARM.D., BCPP
Practice Location Address:

1940 SPRING ST , PACT CLINIC
PASO ROBLES, CA
93446-1620

Practice Phone: 805-239-9595
Practice Fax:

Directions to “ JOSEPH D BETTENCOURT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.