Nicholas Bevins, MD PHD

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

License

A164134 Issued in CA

Practice address

1835 Edgemont St
San Diego, CA 92102-1207

Phone

(831) 277-9487

NPI assigned

Jul 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1043862857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 B ST UNIT 2139",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022208",
            "telephone_number": "831-277-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 EDGEMONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021207",
            "telephone_number": "831-277-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVINS",
        "first_name": "NICHOLAS",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "CA",
            "license": "A164134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Temple Beverly IV, M.D.
• Ijose Beverly, NP
• Juanita Beverly
• Kristina Paige Bevill
• Rebecca Anne Beville, LMFT
• Bewell Home Occupational Therapy PC
• Diane Sue Bewley, BSN, RN, PHN
• Gregory Yosef Bey, REHAB SPECIALIST
• Robert John Bey, DDS
• Mary Robert Beydoun, RPH

• Clinical Pathology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.