Individual provider Active NPI

Be-Verlyn Navarro, NP

  • Primary Care Nurse Practitioner
  • Concord, CA
National Provider Identifier
1104602457
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95026583 Issued in CA
Practice address
5167 Clayton Rd Ste H
Concord, CA 94521-3170
Phone
(323) 336-1178
NPI assigned
Sep 4, 2023
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 750877 CA
Primary Care Nurse Practitioner 363LP2300X 95026583 CA Primary

Addresses

Primary practice location

5167 Clayton Rd Ste H
Concord, CA 94521-3170

Mailing address

5167 Clayton Rd Ste H
Concord, CA 94521-3170
Phone (323) 336-1178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250513003698 CA Practitioner - Nurse Practitioner 2264871383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Navarro HealthGroup PAC ID 7911415633, 2 clinicians

Practice addresses (Care Compare)

341 Vinal Dr
Manteca, CA 95337-7868
Phone (209) 621-2415

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
750877CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Muir Wound Care Current Accepting new patients
Navarro Health CurrentSince May 23, 2025 Accepting new patients
Vividlife Ketamine Clinic CurrentSince Jan 1, 2024 Accepting new patients

Locations

5167 Clayton Rd
Ste H
Concord, CA 94521
Phone (925) 375-1971

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1104602457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5167 CLAYTON RD STE H",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213170",
            "telephone_number": "323-336-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5167 CLAYTON RD STE H",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213170",
            "telephone_number": "323-336-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "BE-VERLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "750877",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95026583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.