Individual provider Active NPI

Beatriz Tamayo, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1144396383
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A74662 Issued in CA
Practice address
1127 Wilshire Blvd Ste 202
Los Angeles, CA 90017-3903
Phone
(213) 250-0050
Fax
(213) 250-0150
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A74662 CA Primary

Addresses

Primary practice location

1127 Wilshire Blvd Ste 202
Los Angeles, CA 90017-3903

Mailing address

PO Box 3909
Palos Verdes Estates, CA 90274-9541
Phone (213) 250-0050

Other identifiers 1

IdentifierTypeStateIssuer
00A746620MedicaidCA

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
I20100603000708 CA Practitioner - Internal Medicine 9537298385 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74662CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Internal Medicine Inc Internal Medicine CurrentSince Jul 12, 2010 Accepting new patients

Locations

1127 Wilshire Blvd
Ste 202
Los Angeles, CA 90017
Phone (213) 223-5050

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1144396383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3909",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902749541",
            "telephone_number": "213-250-0050",
            "fax_number": "213-250-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173903",
            "telephone_number": "213-250-0050",
            "fax_number": "213-250-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "BEATRIZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A746620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.