Individual provider Active NPI

Jason D. Beck, M. D.

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1114120474
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C135430 Issued in CA
Practice address
2740 S Elm Ave
Fresno, CA 93706-5435
Phone
(559) 457-5200
Fax
(559) 457-5296
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21210 MS
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X C135430 CA Primary

Addresses

Primary practice location

2740 S Elm Ave
Fresno, CA 93706-5435

Mailing address

7001 Highway 614
Moss Point, MS 39562
Phone (228) 588-6622

Other practice location 1

7001 Highway 614
Hurley, MS 39555
Phone (228) 588-6622

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629001141 CA Practitioner - Family Practice 4082800867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1015 Baker St
Bakersfield, CA 93305-4341
Phone (661) 328-4283

1305 Bear Mountain Blvd
Arvin, CA 93203-1231
Phone (661) 854-3131

425 Del Sol Pkwy
Delano, CA 93215-3442
Phone (661) 720-4011

8787 Hall Rd
Lamont, CA 93241-1953
Phone (661) 845-3731

Hospital & facility affiliations

  • Purpose Driven Home Health, LLC Home health agency, Bakersfield, CA, CCN 059545
  • Adventist Health Delano Hospital, Delano, CA, CCN 050608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C135430CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Western Sierra Medical Clinic, Inc. CurrentSince Jun 15, 2021 Accepting new patients
Mobile Emergency Physicians, LLC CurrentSince Oct 15, 2014 Accepting new patients
Clinica Sierra Vista CurrentSince Jun 2, 2022 Accepting new patients
Western Sierra Medical Clinic, Inc. Current Accepting new patients
Western Sierra Medical Clinic, Inc. CurrentSince Jun 15, 2021 Accepting new patients
Clinica Sierra Vista Past Accepting new patients
Community Medical Center Family Medicine Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

425 Del Sol Pkwy
Delano, CA 93215
Phone (661) 720-4011

2740 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5200

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

844 Old Tunnel Rd
Grass Valley, CA 95945
Phone (530) 273-4984

8787 Hall Rd
Lamont, CA 93241
Phone (661) 845-3717

67 Evans Rd
Wofford Hts, CA 93285
Phone (760) 376-2276

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • BSC 65 PLUS INDIVIDUAL MAPD
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jbeck329423@nychhc.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1114120474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 HIGHWAY 614",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "39562",
            "telephone_number": "228-588-6622",
            "fax_number": "228-588-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "559-457-5200",
            "fax_number": "559-457-5296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Highway 614",
            "address_purpose": "LOCATION",
            "city": "Hurley",
            "state": "MS",
            "postal_code": "39555",
            "country_code": "US",
            "telephone_number": "228-588-6622",
            "fax_number": "228-588-9399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "JASON",
        "middle_name": "D.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "21210",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C135430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.