Active NPI
Payal Gupta Beam, LCSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1073646329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW24330
- Practice address
- 3020 Childrens Way
San Diego, CA 92123-4223 - Phone
- (858) 576-1700
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW24330 | CA | Primary |
Addresses
Primary practice location
3020 Childrens Way
San Diego, CA 92123-4223
Mailing address
3020 Childrens Way # Mc5150
San Diego, CA 92123-4223
Phone (858) 576-1700
Other practice location 1
31170 Temecula Pkwy Ste 200
Temecula, CA 92592-2915
Phone (951) 699-3299
Other practice location 2
3951 W Stetson Ave
Hemet, CA 92545-9683
Phone (951) 765-7002
Other practice location 3
25170 Hancock Ave
Murrieta, CA 92562-5969
Phone (951) 461-9300
Other names 1
- Payal Gupta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW24330 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1073646329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5150",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-576-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-576-1700"
}
],
"practiceLocations": [
{
"address_1": "31170 Temecula Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925922915",
"country_code": "US",
"telephone_number": "951-699-3299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3951 W Stetson Ave",
"address_purpose": "LOCATION",
"city": "Hemet",
"state": "CA",
"postal_code": "925459683",
"country_code": "US",
"telephone_number": "951-765-7002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25170 Hancock Ave",
"address_purpose": "LOCATION",
"city": "Murrieta",
"state": "CA",
"postal_code": "925625969",
"country_code": "US",
"telephone_number": "951-461-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAM",
"first_name": "PAYAL",
"middle_name": "GUPTA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW24330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAYAL",
"last_name": "GUPTA",
"code": "1",
"type": "Former Name"
}
]
}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 Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.