Organization Active NPI

Beach Psychiatry Associates PC

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1043854755
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BEACH PSYCHIATRY ASSOCIATES PC
Practice address
1804 Garnet Ave # 534
San Diego, CA 92109-3352
Phone
(858) 997-0703
NPI assigned
Nov 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Dr. Rajagopal Sunder, MDNPI 1972572824
Title
Doctor
Phone
(510) 685-2022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1804 Garnet Ave # 534
San Diego, CA 92109-3352

Mailing address

3060 El Cerrito PLZ Ste 266
El Cerrito, CA 94530-4011
Phone (951) 529-5518

National Provider Directory

National Provider Directory

Locations

7660 Fay Ave
#H205
La Jolla, CA 92037

1804 Garnet Ave
San Diego, CA 92109
Phone (619) 788-4570

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1043854755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 EL CERRITO PLZ STE 266",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945304011",
            "telephone_number": "951-529-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 GARNET AVE # 534",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093352",
            "telephone_number": "858-997-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH PSYCHIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "SUNDER",
        "authorized_official_first_name": "RAJAGOPAL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "510-685-2022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.