MEDICARE: KIMBERLY BEKKER CCP

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	242T00000X	Perfusionist

General Provider Information

NPI Number	:	1427995877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY BEKKER CCP

Provider Business Mailing Address
First Line	:	935 CAPUCHINO AVE
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-3647
Country	:	US
Telephone Number	:	907-230-1633
Fax Number	:

Provider Business Practice Location Address
First Line	:	935 CAPUCHINO AVE
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-3647
Country	:	US
Telephone Number	:	907-230-1633
Fax Number	:

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ KIMBERLY BEKKER CCP” Practice Location

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