Individual provider Active NPI

Beth A Brown, PA-C

  • Medical Physician Assistant
  • Santa Maria, CA
National Provider Identifier
1184958837
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
22240 Issued in CA
Practice address
135 Carmen LN
Santa Maria, CA 93458-7729
Phone
(805) 928-7361
Fax
(805) 928-5742
NPI assigned
Sep 29, 2009
Last updated
Jun 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 22240 CA Primary

Addresses

Primary practice location

135 Carmen LN
Santa Maria, CA 93458-7729

Mailing address

135 Carmen LN
Santa Maria, CA 93458-7729
Phone (805) 928-7361

Other identifiers 3

IdentifierTypeStateIssuer
12380925OtherCACAQH PROVIDER NUMBER
1083124OtherCANAT'L COMM OF CERTIFICATION OF PHYSICIAN ASSISTANTS
22240OtherCADCA: PHYSICIAN ASSISTANT COMMITTEE LICENSE

Other names 1

  • Beth A Shearman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2959COMDPhysical Therapist
22240CAMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Rosaasen Physical Medicine Inc. Past Accepting new patients
Lags Spine and Sportscare Medical Centers Inc Past Accepting new patients
Flatirons Spine & Joint Health LLC Past Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. PastSince Jun 22, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: beth.brown@1512.securemail.prognocis.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1184958837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CARMEN LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587729",
            "telephone_number": "805-928-7361",
            "fax_number": "805-928-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CARMEN LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587729",
            "telephone_number": "805-928-7361",
            "fax_number": "805-928-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "22240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NUMBER",
            "identifier": "12380925",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAT'L COMM OF CERTIFICATION OF PHYSICIAN ASSISTANTS",
            "identifier": "1083124",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCA: PHYSICIAN ASSISTANT COMMITTEE LICENSE",
            "identifier": "22240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "SHEARMAN",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.