Individual provider Active NPI

Daniel Gregory Beach, DPT

  • Orthopedic Physical Therapist
  • San Diego, CA
National Provider Identifier
1033800198
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
304072 Issued in CA
Practice address
2650 Camino del Rio N Ste 200
San Diego, CA 92108-1631
Phone
(619) 295-3000
NPI assigned
May 18, 2023
Last updated
May 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 304072 CA Primary

Addresses

Primary practice location

2650 Camino del Rio N Ste 200
San Diego, CA 92108-1631

Mailing address

6490 Lake Mere CT
San Diego, CA 92119-2820
Phone (619) 415-3175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628002232 CA Practitioner - Physical Therapist in Private Practice 3779941463 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Orthopedic CurrentSince Oct 28, 2024 Accepting new patients
Eggleton & Langton Physical Therapy Management Services CurrentSince Jun 14, 2023 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapy CurrentSince Jun 14, 2023 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Past Accepting new patients
Eggleton Langton Physical Therapy Management Services Physical Therapy Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapy Past Accepting new patients

Locations

2536 Rockwood Ave
Calexico, CA 92231
Phone (760) 768-3422

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

3130 Bonita Rd
Ste 100
Chula Vista, CA 91910
Phone (619) 422-5315

5905 Severin Dr
La Mesa, CA 91942
Phone (619) 589-2606

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

4060 4th Ave
Ste 206
San Diego, CA 92103
Phone (619) 297-0014

2650 Camino del Rio N
Ste 200
San Diego, CA 92108
Phone (619) 295-3000

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1033800198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 LAKE MERE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192820",
            "telephone_number": "619-415-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CAMINO DEL RIO N STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081631",
            "telephone_number": "619-295-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "DANIEL",
        "middle_name": "GREGORY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "304072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.