Organization Active NPI

Shawn Beck, M.D., Inc

  • Urology Physician
  • Santa Ana, CA
National Provider Identifier
1144776683
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A96569 Issued in CA
Legal business name
SHAWN BECK, M.D., INC
Practice address
1801 N Broadway
Santa Ana, CA 92706-2626
Phone
(714) 628-1341
Fax
(714) 628-1345
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Shawn M Beck, M.D.NPI 1669661849
Title
Owner
Phone
(714) 628-1341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X A96569 CA Primary

Addresses

Primary practice location

1801 N Broadway
Santa Ana, CA 92706-2626

Mailing address

1801 N Broadway
Santa Ana, CA 92706-2626
Phone (714) 628-1341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161003001818 CA Part B Supplier - Clinic/Group Practice 7416244694 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

1801 N Broadway
Ste A
Santa Ana, CA 92706
Phone (714) 628-1341

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1144776683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062626",
            "telephone_number": "714-628-1341",
            "fax_number": "714-628-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062626",
            "telephone_number": "714-628-1341",
            "fax_number": "714-628-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN BECK, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-628-1341",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A96569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.