Yancey B Beamer MD, Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G16380 Issued in CA

Legal business name

YANCEY B BEAMER MD, INC

Practice address

14591 Newport Ave.
Suite 106
Tustin, CA 92780-6026

Phone

(714) 832-8020

NPI assigned

Jul 19, 2011

Organization subpart

No

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

Authorized official

Name

Yancey B. Beamer, MD

Title

Owner

Phone

(714) 832-8020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1114215548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571470",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841571470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14591 NEWPORT AVE.",
            "address_2": "SUITE 106",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806026",
            "telephone_number": "714-832-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANCEY B BEAMER MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "BEAMER",
        "authorized_official_first_name": "YANCEY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-832-8020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G16380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Tustin, CA
• Providers in Tustin, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.