Active NPI
Jules E Beuck, LCSW
- Clinical Social Worker
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11819
- Practice address
- 3288 Little Mountain Dr Apt a
San Bernardino, CA 92405-0912 - Phone
- (909) 520-2044
- NPI assigned
- Jan 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11819 | CA | Primary |
Addresses
Primary practice location
3288 Little Mountain Dr Apt a
San Bernardino, CA 92405-0912
Mailing address
3288 Little Mountain Dr Apt a
San Bernardino, CA 92405-0912
Phone (909) 520-2044
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11819 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Psychiatric Medical Group, Inc. | Clinical | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Current | Accepting new patients | |
| Inland Psychiatric Medical Group, Inc | Clinical | Current | Accepting new patients |
Locations
12555 Central Ave
Ste C
Chino, CA 91710
Phone (909) 613-0100
16279 Walnut St
Hesperia, CA 92345
Phone (760) 243-7700
23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455
73700 Dinah Shore Dr
Ste 106
Palm Desert, CA 92211
Phone (760) 832-6352
8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870
1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1255754263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3288 LITTLE MOUNTAIN DR APT A",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924050912",
"telephone_number": "909-520-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3288 LITTLE MOUNTAIN DR APT A",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924050912",
"telephone_number": "909-520-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEUCK",
"first_name": "JULES",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-27",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "11819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.