Individual provider Active NPI

Jules E Beuck, LCSW

  • Clinical Social Worker
  • San Bernardino, CA
National Provider Identifier
1255754263
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11819 Issued in CA
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

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191105000439 CA Practitioner - Clinical Social Worker 8224360607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11819CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. Clinical Current Accepting new patients
Inland Psychiatric Medical Group, Inc. CurrentSince Jul 26, 2019 Accepting new patients
Inland Psychiatric Medical Group, Inc Clinical CurrentSince Jul 26, 2019 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.

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

Verify at the official NPI Registry.