Individual provider Active NPI

Chyle E Beaird, M.D.

  • Family Medicine Physician
  • Lake Forest, CA
National Provider Identifier
1043374473
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G81865 Issued in CA
Practice address
24401 Muirlands Blvd Ste C
Lake Forest, CA 92630-3949
Phone
(949) 855-8845
Fax
(949) 855-9167
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X G81865 CA
Occupational Medicine Physician 2083X0100X G81865 CA
Family Medicine Physician 207Q00000X G81865 CA Primary

Addresses

Primary practice location

24401 Muirlands Blvd Ste C
Lake Forest, CA 92630-3949

Mailing address

1057 E Imperial Hwy
Suite 614
Placentia, CA 92870-1717
Phone (949) 855-8845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130116000071 CA Practitioner - Family PracticePractitioner - Sports Medicine 0345493748 Reassigns benefits to 5 organizations
I20260128004412 FL Practitioner - Emergency Medicine 0345493748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Un of California, Irvine, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Innovation Physicians LLCGroup PAC ID 3476816216, 9 clinicians

Practice addresses (Care Compare)

524 W Sagamore Ave
Clewiston, FL 33440-3514
Phone (863) 983-9121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Hospital Innovation Physicians LLC CurrentSince Jan 1, 2026 Accepting new patients
SV Hospitalist Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Yacoub Medical, Inc. CurrentSince Aug 14, 2019 Accepting new patients
West Ocean Marketing & Development Past Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

120 S Montebello Blvd
Montebello, CA 90640
Phone (323) 720-9204

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1043374473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 E IMPERIAL HWY",
            "address_2": "SUITE 614",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928701717",
            "telephone_number": "949-855-8845",
            "fax_number": "949-855-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 MUIRLANDS BLVD STE C",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303949",
            "telephone_number": "949-855-8845",
            "fax_number": "949-855-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAIRD",
        "first_name": "CHYLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "G81865",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G81865",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G81865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.