John Michael Beemer, PA-C

Key facts

NPI

1306033071

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

Practice address

7040 Archibald Ave Apt 6
Alta Loma, CA 91701-6410

Phone

(310) 562-1299

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

Yes

Organizations & group practices 5

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.

• Southern California Permanente Medical Group Health Maintenance Organization · Baldwin Park, CA · NPI 1770515280
  Medicare reassignment Care Compare group NPD CA
• Southern California Permanente Medical Group Health Maintenance Organization · Riverside, CA · NPI 1316979834
  Care Compare group
• Southern California Permanente Medical Group Clinical Medical Laboratory · N Hollywood, CA · NPI 1891873303
  Care Compare group
• Southern California Permanente Medical Group Health Maintenance Organization · Woodland Hills, CA · NPI 1952333478
  Care Compare group
• Southern California Permanente Medical Group Health Maintenance Organization · Santa Clarita, CA · NPI 1316409410
  NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kaiser Foundation Hospitals General Acute Care Hospital · Baldwin Park, CA · NPI 1477608271
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Permanente Medical Group (11,250 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaiser Foundation Hospital - Baldwin Park Hospital · Baldwin Park, CA · CCN 050723

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 6, 2021.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1306033071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1511",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851511",
            "telephone_number": "310-562-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 ARCHIBALD AVE APT 6",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917016410",
            "telephone_number": "310-562-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEMER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alta Loma, CA

• Tierra Altimese Andrews, AMFT
• Apsis Medical Billing Services
• Karen Marie Asbra, LICENSED MFT
• Julie Barthelemy, MA, BCBA
• Jordan Bartolome, PHARMD
• Tracy Travina Bennett, RN
• William A Bescoby, O.D.
• Aimee Blair, MS, CCLS
• Kimberly Bolduc I
• Brittany Boone

All providers in Alta Loma, CA · Physician Assistant in California