Active NPI
Fabio Eugenio Besu Pastor
- Psychologist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- UC Davis Early Psychosis Program
2230 Stockton Blvd
Sacramento, CA 95817 - Phone
- (916) 734-3350
- Fax
- (916) 734-7539
- NPI assigned
- Jun 7, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
UC Davis Early Psychosis Program
2230 Stockton Blvd
Sacramento, CA 95817
Mailing address
19 Calle Peral Edificio la Palma
Suite 3-E
Mayaguez, PR 00680
Phone (787) 948-8428
Other practice location 1
19 Calle Peral Edificio La Palma
Suite 3-E
Mayaguez, PR 00680
Phone (787) 948-8428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Veritas LLC | Psychologist | Current | Accepting new patients |
Locations
19 Calle Peral Edificio la
Mayaguez, PR 00680
Phone (787) 948-8428
19 Calle Peral Edificio la Palma Ste 3E
Ste 3E
Mayaguez, PR 00680
Phone (787) 948-8428
Organizations & group practices 1
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": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1326607920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CALLE PERAL EDIFICIO LA PALMA",
"address_2": "SUITE 3-E",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-948-8428",
"fax_number": "787-935-7163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UC DAVIS EARLY PSYCHOSIS PROGRAM",
"address_2": "2230 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95817",
"telephone_number": "916-734-3350",
"fax_number": "916-734-7539"
}
],
"practiceLocations": [
{
"address_1": "19 Calle Peral Edificio La Palma",
"address_2": "Suite 3-E",
"address_purpose": "LOCATION",
"city": "Mayaguez",
"state": "PR",
"postal_code": "00680",
"country_code": "US",
"telephone_number": "787-948-8428",
"fax_number": "787-935-7163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BESU PASTOR",
"first_name": "FABIO",
"middle_name": "EUGENIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-07",
"last_updated": "2022-11-02",
"certification_date": "2022-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.