MEDICARE: DR. TERRY S. BECKER MEDICAL DOCTOR

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	2085B0100X	Body Imaging Physician	G24684	CA
2	2085N0904X	Nuclear Radiology Physician	G24684	CA
3	2085R0202X	Diagnostic Radiology Physician	G24684	CA
4	2085R0204X	Vascular & Interventional Radiology Physician	G24684	CA
5	2085U0001X	Diagnostic Ultrasound Physician	G24684	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780674374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRY S. BECKER MEDICAL DOCTOR

Provider Business Mailing Address
First Line	:	223 N 1ST AVE
Second Line	:	SUITE #201
City	:	ARCADIA
State	:	CA
Zip	:	91006-7089
Country	:	US
Telephone Number	:	626-821-1411
Fax Number	:	626-821-0406

Provider Business Practice Location Address
First Line	:	65 N MADISON AVE
Second Line	:	LOWER LEVEL
City	:	PASADENA
State	:	CA
Zip	:	91101-2035
Country	:	US
Telephone Number	:	626-793-8189
Fax Number	:	626-795-3975

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

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	02/23/2012

Similar Medicare Providers

1134118342 — MADISON RADIOLOGY MEDICAL GROUP, INC.
Practice Location Address:

65 N MADISON AVE , LOWER LEVEL
PASADENA, CA
91101-2035

Practice Phone: 626-793-8189
Practice Fax: 626-795-3975

1508840232 — PASADENA COLON & RECTAL MED GRP
Practice Location Address:

65 N MADISON AVE , STE 410
PASADENA, CA
91101-2035

Practice Phone: 626-795-4261
Practice Fax: 626-795-1506

1255303905 — LESLIE A DUDLEY MD
Practice Location Address:

65 N MADISON AVE , SUITE 800
PASADENA, CA
91101-2035

Practice Phone: 626-792-3141
Practice Fax: 626-792-9193

1306819271 — CARY M MANOOGIAN MD
Practice Location Address:

65 N MADISON AVE , SUITE 800
PASADENA, CA
91101-2035

Practice Phone: 626-792-3141
Practice Fax: 626-792-9193

1467425090 — STUART MILLER MD
Practice Location Address:

65 N MADISON AVE , SUITE 800
PASADENA, CA
91101-2035

Practice Phone: 626-792-3141
Practice Fax: 626-792-9193

1710951645 — CLAIRE TILEM MD
Practice Location Address:

65 N MADISON AVE , SUITE 800
PASADENA, CA
91101-2035

Practice Phone: 626-792-3141
Practice Fax: 626-792-9193

Directions to “ DR. TERRY S. BECKER MEDICAL DOCTOR” 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.