Richard Joseph Beaulieu, PNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

10621 Issued in CA

Practice address

1800 H St RM 80
Union City, CA 94587-3321

Phone

(510) 471-5880

NPI assigned

Jul 30, 2010

Last updated

Aug 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Tiburcio Vasquez Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Union City, CA
  • NPI 1497805790
  NPD (past)

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1245544360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22331 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413911",
            "telephone_number": "510-471-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 H ST RM 80",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873321",
            "telephone_number": "510-471-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22331 Mission Blvd",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945413911",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "10621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard S Barth, PH.D.
• Vijaya Sharan Basawaprasad, M.D.
• Francine Bashan, PSYD
• Michaela Battaglia, SLP
• Romeo Serra Bautista D, DMD
• Waania Beg
• Darlene Behr, DO
• Lydia Benjamin-Ajani, RN,BSN,PHN
• Arnold C Berman, M.D.
• Elliot Gan Hong Bernadel-Huey, R.P.T.

• Pediatric Nurse Practitioner in Union City, CA
• Providers in Union City, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.