Organization Active NPI

Rulon D Beesley

  • Eyewear Supplier
  • Lancaster, CA
National Provider Identifier
1306913066
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
RULON D BEESLEY
Practice address
44404 16TH St W
Suite 102
Lancaster, CA 93534-2839
Phone
(661) 940-0555
Fax
(661) 940-0558
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Dr. Rulon D Beesley, M.D.
Title
Sole Proprietor
Phone
(661) 940-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

44404 16TH St W
Suite 102
Lancaster, CA 93534-2839

Mailing address

44404 16TH St W
Suite 102
Lancaster, CA 93534-2839
Phone (661) 940-0555

Other identifiers 1

IdentifierTypeStateIssuer
00G630311MedicaidCA

National Provider Directory

National Provider Directory

Locations

44404 16th St W
Ste 102
Lancaster, CA 93534
Phone (310) 693-4744

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1306913066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44404 16TH ST W",
            "address_2": "SUITE 102",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342839",
            "telephone_number": "661-940-0555",
            "fax_number": "661-940-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44404 16TH ST W",
            "address_2": "SUITE 102",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342839",
            "telephone_number": "661-940-0555",
            "fax_number": "661-940-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RULON D BEESLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "BEESLEY",
        "authorized_official_first_name": "RULON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "661-940-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G630311",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.