Delphine Bertalie Beaubrun, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95140096 Issued in CA

Practice address

18433 Hatteras St Unit 407
Tarzana, CA 91356-1944

Phone

(310) 469-9457

NPI assigned

Feb 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Evergreen Glow Nursing Wellness Spa Apc

  • Nursing Care Agency
  • Woodland Hills, CA
  • NPI 1689540825
  NPD Authorized official

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1174388581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18433 HATTERAS ST UNIT 407",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561944",
            "telephone_number": "310-469-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18433 HATTERAS ST UNIT 407",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561944",
            "telephone_number": "310-469-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUBRUN",
        "first_name": "DELPHINE",
        "middle_name": "BERTALIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95140096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "95140096",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Be Healthy Home Health Inc
• Be Well Senior Living II
• Amy Beals, SLP
• Tanya Laverne Bean, COUNSELOR III
• Scott A Beasley, M.D.
• Beber Dental Corporation
• David J Beber, D.D.S.
• Samantha Behboudikha, M.S.,CCC-SLP
• Benyamin Behnamfard, PHARM.D.
• Behrooz Shokrani Chiropractic Corp

• Registered Nurse in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.