NPIMap

Organization Active NPI

Jeanette Beer

  • Community Health Clinic/Center
  • Oakland, CA
National Provider Identifier
1285817338
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
638882 Issued in CA
Legal business name
JEANETTE BEER
Practice address
2647 International Blvd
Suite 600
Oakland, CA 94601-1537
Phone
(510) 434-7673
Fax
(510) 434-7908
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Ms. Jeanette Louise Beer, RN, PHN
Title
PHN
Phone
(510) 434-7673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 638882 CA Primary

Addresses

Primary practice location

2647 International Blvd
Suite 600
Oakland, CA 94601-1537

Mailing address

2647 International Blvd
Suite 600
Oakland, CA 94601-1537
Phone (510) 434-7673

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1285817338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 INTERNATIONAL BLVD",
            "address_2": "SUITE 600",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011537",
            "telephone_number": "510-434-7673",
            "fax_number": "510-434-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 INTERNATIONAL BLVD",
            "address_2": "SUITE 600",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011537",
            "telephone_number": "510-434-7673",
            "fax_number": "510-434-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE BEER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "BEER",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PHN",
        "authorized_official_telephone_number": "510-434-7673",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, PHN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "638882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.