BECKETT PROFESSIONAL CORPORATION
NPI 1710689906
Neurological Surgery in Marina Del Rey, CA

Active since March 20, 2023
4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292(310) 776-3688 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2024, Mar 20, 2023 (2 updates tracked since 2023).

About Beckett Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BECKETT PROFESSIONAL CORPORATION (NPI 1710689906) is a healthcare organization registered as a neurological surgery in Marina Del Rey, California and active in the NPI registry since March 2023. The organization lists Joel Stanley Beckett, President, as its authorized official.

NPPES Registry Identity

NPI1710689906
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameBECKETT PROFESSIONAL CORPORATION
Location Address4551 GLENCOE AVE STE 145Marina Del Rey, CA 90292-6385
Mailing AddressPo Box 3129Torrance, CA 90510-3129 · (310) 776-3688
Organization SubpartNo
Authorized OfficialJoel Stanley BeckettPresident · (310) 776-3688
Enumeration DateMarch 20, 2023
Last NPPES UpdateMay 10, 20242 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1710689906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
4551 GLENCOE AVE STE 145, Marina Del Rey, CA 90292

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beckett Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Beckett Professional Corporation, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Neurosurgery
NPI 1962764480
4551 GLENCOE AVE STE 145
Marina Del Rey, CA 90292
(310) 776-3688
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1336857606
1131 WILSHIRE BLVD STE 100
Santa Monica, CA 90401
(310) 319-3475
✔ PECOS✔ Accepts Medicare4.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beckett Professional Corporation's NPI number?

The NPI number for Beckett Professional Corporation is 1710689906. It was assigned to this organization in the NPPES registry on March 20, 2023.

Where is Beckett Professional Corporation located?

Beckett Professional Corporation is located at 4551 Glencoe Ave Ste 145, Marina Del Rey, CA 90292. The listed phone number is (310) 776-3688.

What is Beckett Professional Corporation's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Beckett Professional Corporation enrolled in Medicare?

Yes. Beckett Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beckett Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Beckett Professional Corporation, in Neurosurgery and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beckett Professional Corporation was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.