Organization Active NPI

Jay M Beams MD,Inc

  • General Practice Physician
  • Susanville, CA
National Provider Identifier
1093989642
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
00G156670 Issued in CA
Legal business name
JAY M BEAMS MD,INC
Practice address
701 Nevada St
Susanville, CA 96130-3912
Phone
(530) 257-4137
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Jay Milton Beams
Title
Owner
Phone
(530) 257-4137

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 00G156670 CA Primary

Addresses

Primary practice location

701 Nevada St
Susanville, CA 96130-3912

Mailing address

701 Nevada St
Susanville, CA 96130-3912

National Provider Directory

National Provider Directory

Locations

701 Nevada St
Susanville, CA 96130
Phone (530) 257-4137

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1093989642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NEVADA ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NEVADA ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303912",
            "telephone_number": "530-257-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY M BEAMS MD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "BEAMS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-257-4137"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "00G156670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Susanville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.