Individual provider Active NPI

Jean Claire Bever, NP

  • Family Nurse Practitioner
  • Costa Mesa, CA
National Provider Identifier
1134525454
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000337 Issued in CA
Practice address
2216 Newport Blvd
Costa Mesa, CA 92627-1711
Phone
(949) 631-9009
Fax
(949) 631-1984
NPI assigned
Nov 13, 2014
Last updated
Sep 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000337 CA Primary

Addresses

Primary practice location

2216 Newport Blvd
Costa Mesa, CA 92627-1711

Mailing address

2216 Newport Blvd
Costa Mesa, CA 92627-1711
Phone (949) 631-9009

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
I20151009000413 CA Order and Referring Only - Nurse Practitioner 8820306970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95000337CAMDCertified Registered Nurse Anesthetist

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHGEAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHGEAA/Endpoint/BHGEAA

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1134525454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271711",
            "telephone_number": "949-631-9009",
            "fax_number": "949-631-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271711",
            "telephone_number": "949-631-9009",
            "fax_number": "949-631-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVER",
        "first_name": "JEAN",
        "middle_name": "CLAIRE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.