Peter A. Beoris, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G35111 Issued in CA

Practice address

475 Bruce St
Yreka, CA 96097-3474

Phone

(530) 842-3507

NPI assigned

Aug 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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

• Colusa Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Colusa, CA
  • NPI 1891726816
  NPD (past)
• Fairchild Medical Group

  • Family Medicine Physician
  • Yreka, CA
  • NPI 1063588895
  NPD (past)
• Tuolumne General Medical Associates

  • Emergency Medicine Physician
  • Sonora, CA
  • NPI 1528151727
  NPD (past)
• Valley Emergency Physicians

  • Emergency Medicine Physician
  • Woodland, CA
  • NPI 1831129568
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1114030863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BRUCE ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973474",
            "telephone_number": "530-842-3507",
            "fax_number": "530-842-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BRUCE ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973474",
            "telephone_number": "530-842-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEORIS",
        "first_name": "PETER",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G35111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G351110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christi A Beck, RTEI 66340
• Vicki Bedford
• Scott Beer
• Vickie Beltramo, PT
• Caitlin Bennett, ASW
• Amber Bernelis, PA-C
• Ginger A Bert, D.C.
• Lynda Anne Beverlin
• Gita Bhushan, MOTR/L
• Shari Ellen Bigman, PT

• Emergency Medicine Physician in Yreka, CA
• Providers in Yreka, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.